Individual
DEBRA SAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
44405 WOODWARD AVE, PONTIAC, MI 48341-5023
(248) 858-6818
Mailing address
310 TORREY PINE CT, LAKE ORION, MI 48362-3914
(248) 841-7405
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704165027
MI
Other
Enumeration date
03/14/2014
Last updated
03/14/2014
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