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Individual

SARAH NICOLE BOBICK

Active
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Individual

SARAH NICOLE BOBICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601005569
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
080G310660
BC TRADITIONAL
MI
01
1366674673
MOLINA HEALTHCARE OF MICHIGAN
MI
01
198088
GREAT LAKES HEALTH PLAN OF MICHIGAN
MI
01
381908328
HEALTHNET
MI
01
381908328
HCAP
MN
01
478
CARE SOURCE OF MICHIGAN
MI
01
69222
HEALTH PLAN OF MICHIGAN
MI
Enumeration date
08/20/2009
Last updated
04/08/2016
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