Provider Demographics
NPI:1285847525
Name:SAWADE, JULIE A (DO)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:A
Last Name:SAWADE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:7057 N CLIO RD
Mailing Address - Street 2:
Mailing Address - City:MOUNT MORRIS
Mailing Address - State:MI
Mailing Address - Zip Code:48458-8261
Mailing Address - Country:US
Mailing Address - Phone:810-564-3464
Mailing Address - Fax:810-564-3466
Practice Address - Street 1:7057 N CLIO RD
Practice Address - Street 2:
Practice Address - City:MOUNT MORRIS
Practice Address - State:MI
Practice Address - Zip Code:48458-8261
Practice Address - Country:US
Practice Address - Phone:810-564-3464
Practice Address - Fax:810-564-3466
Is Sole Proprietor?:No
Enumeration Date:2007-05-07
Last Update Date:2013-08-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI5101015933207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine