Individual
SARAH KISHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 654-3579
Mailing address
3150 WOODWARD AVE APT 241, DETROIT, MI 48201-2747
(313) 690-4254
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
4351049387
MI
Other
Enumeration date
06/19/2022
Last updated
06/19/2022
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