Individual
JOHN A SAUCHAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
830 W LAKE LANSING RD, #190, EAST LANSING, MI 48823-6371
(517) 333-3777
(517) 203-3948
Mailing address
830 W LAKE LANSING RD, #190, EAST LANSING, MI 48823-6371
(517) 333-3777
(517) 203-3948
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
5101010601
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200000001149
PHYSICIANS HEALTH PLAN
MI
01
—
200C31365
BLUECARE NETWORK
MI
01
—
4540938
AETNA
MI
05
—
4838592
—
MI
Enumeration date
10/07/2005
Last updated
10/16/2007
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