Individual
SARAH BOMGAARS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5301 MCAULEY DR, YPSILANTI, MI 48197-1051
(734) 712-4014
Mailing address
41711 FIVE MILE RD, PLYMOUTH, MI 48170-2615
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704246410
MI
363LA2100X
Acute Care Nurse Practitioner
Primary
4704246410
MI
Other
Enumeration date
07/28/2010
Last updated
06/20/2011
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