MEDICARE: SEW PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1497619548
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SEW PLLC

Provider Business Mailing Address
First Line	:	1820 SINCLAIR ST STE A
Second Line	:
City	:	SAINT CLAIR
State	:	MI
Zip	:	48079-5905
Country	:	US
Telephone Number	:	810-329-9900
Fax Number	:

Provider Business Practice Location Address
First Line	:	1820 SINCLAIR ST STE A
Second Line	:
City	:	SAINT CLAIR
State	:	MI
Zip	:	48079-5905
Country	:	US
Telephone Number	:	810-329-9900
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	SARA WHEDON
Credential	:	DC
Telephone Number	:	248-535-4840

Provider Enumeration Date	:	12/12/2025
Last Update Date	:	12/12/2025

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