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NPI Code Detail

MEDICARE: SARAH FLICKINGER PA-C

MEDICARE: SARAH FLICKINGER PA-C
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
1363A00000XPhysician Assistant5601004652MI

General Provider Information

NPI Number : 1649248618
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH FLICKINGER PA-C
Provider Business Mailing Address
First Line : 1105 SIXTH ST
Second Line :
City : TRAVERSE CITY
State : MI
Zip : 49684-2345
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 550 MUNSON AVE
Second Line :
City : TRAVERSE CITY
State : MI
Zip : 49686-3580
Country : US
Telephone Number : 231-935-8710
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2006
Last Update Date : 08/16/2024

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Directions to “ SARAH FLICKINGER PA-C” Practice Location

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