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NPI Code Detail

MEDICARE: DR. MICHELLE MACKEY-SAWYER M.D

MEDICARE: DR. MICHELLE MACKEY-SAWYER M.D
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
1207Q00000XFamily Medicine Physician35071211OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1801891163
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHELLE MACKEY-SAWYER M.D
Provider Business Mailing Address
First Line : 2001 E ROYALTON RD
Second Line :
City : BROADVIEW HTS
State : OH
Zip : 44147-2811
Country : US
Telephone Number : 440-717-6100
Fax Number : 440-546-1382
Provider Business Practice Location Address
First Line : 2001 E ROYALTON RD
Second Line :
City : BROADVIEW HTS
State : OH
Zip : 44147-2811
Country : US
Telephone Number : 440-717-6100
Fax Number : 440-546-1382
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2005
Last Update Date : 09/09/2011

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