Individual
MISS SARAH VYSKOCIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
5101014288
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
160D410050
BCBSM BCN COMM BLUE
MI
05
—
4626151-11
—
MI
Enumeration date
10/17/2005
Last updated
07/08/2007
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