Individual
MARK W SAWKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
25000 HALL RD, STE 1, WOODHAVEN, MI 48183-5112
(734) 675-1280
(734) 675-1678
Mailing address
25000 HALL RD, STE 1, WOODHAVEN, MI 48183-5112
(734) 675-1280
(734) 675-1678
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MS054908
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0108281382
BCBS
—
01
—
080066594
RAILROAD
—
01
—
0828138
BCN
MI
01
—
0828138
MEDICARE
—
01
—
0H23901
BC LEGACY NUMBER
MI
01
—
2391865003
CIGNA
—
01
—
38-3246455
TAX ID#
—
01
—
4554977
AETNA
—
01
—
C7583
M-CARE
—
01
—
F07916
UPIN
—
01
—
MS054908
ST. LIC#
—
01
—
P120121
CARE CHOICES
—
Enumeration date
07/07/2005
Last updated
12/28/2021
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