Sara Marie Parchomenko, PA-C
Physician Assistant in Detroit, MI. Individual provider (NPI-1).
NPI number1528243003
StatusActive
Last updated in NPPESFeb 5, 2021
Details
- NPI
- 1528243003
- Entity type
- Individual (NPI-1)
- Name
- Ms. Sara Marie Parchomenko
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 3, 2008
- Certification date
- Feb 5, 2021
- Last updated
- Feb 5, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 5601005121 | MI | Yes |
Practice location
2799 W Grand BlvdK-8
Detroit, MI 48202-2608
Phone 313-916-2600
Mailing address
48516 Lorenzo DrMacomb, MI 48044-5601
Phone 734-363-4146
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