Individual
SARA C FUKUZAWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3601 W 13 MILE RD, ROYAL OAK, MI 48073-6712
(248) 898-5000
Mailing address
7324 SOUTHWEST FWY 1550, HOUSTON, TX 77074-2053
(248) 953-3706
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
5601006688
MI
Other
Enumeration date
06/11/2013
Last updated
09/03/2015
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