Most Relevant Information
Provider Data
| NPI Number: | 1003664590 |
| Provider Name: | SARAH ANNE ECENBARGER |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/09/2024 |
| Last Updated: | 05/09/2024 |
Provider Practice Location
1234 NAPIER AVE
SAINT JOSEPH
MI
490852112
Practice Location Phone/Fax
| Phone: | 2699838300 |
| Fax: |
Provider Mailing Location
1632 STONE ST
SAGINAW
MI
48602
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |