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NPI Code Detail

MEDICARE: SARAH MELISSA SEIDERMAN

MEDICARE:   SARAH MELISSA SEIDERMAN
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
1183700000XPharmacy Technician5303033485MI

General Provider Information

NPI Number : 1750958146
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH MELISSA SEIDERMAN
Provider Business Mailing Address
First Line : 3050 UNION LAKE RD
Second Line :
City : COMMERCE TWP
State : MI
Zip : 48382-4509
Country : US
Telephone Number : 248-363-4392
Fax Number : 248-363-7723
Provider Business Practice Location Address
First Line : 3050 UNION LAKE RD
Second Line :
City : COMMERCE TWP
State : MI
Zip : 48382-4509
Country : US
Telephone Number : 248-363-4392
Fax Number : 248-363-7723
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2021
Last Update Date : 06/05/2021

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Directions to “ SARAH MELISSA SEIDERMAN ” Practice Location

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