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Individual
SARAH WADOWSKI
Active
Individual
SARAH WADOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
SW004663
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SW004663
STATE LICENSE
MI
Enumeration date
09/26/2006
Last updated
08/01/2023
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