Individual
MRS. SARAH GRACE MICHALAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9075 TOWN CENTRE DR STE 100, BROADVIEW HEIGHTS, OH 44147-4046
(440) 526-4570
(440) 526-4149
Mailing address
9075 TOWN CENTRE DR STE 100, BROADVIEW HEIGHTS, OH 44147-4046
(440) 526-4570
(440) 526-4149
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
50.005462RX
OH
363AM0700X
Medical Physician Assistant
Primary
50.005462RX
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0310483
—
OH
Enumeration date
05/06/2018
Last updated
01/22/2025
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