Provider Demographics
NPI:1356302616
Name:PERKINS, SANDRA HANSON (PA-C)
Entity Type:Individual
Prefix:MS
First Name:SANDRA
Middle Name:HANSON
Last Name:PERKINS
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:5301 E HURON RIVER DR
Mailing Address - Street 2:RM 1186
Mailing Address - City:YPSILANTI
Mailing Address - State:MI
Mailing Address - Zip Code:48197-1051
Mailing Address - Country:US
Mailing Address - Phone:734-712-2683
Mailing Address - Fax:734-712-2473
Practice Address - Street 1:5301 E HURON RIVER DR
Practice Address - Street 2:RM 1186
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48197-1051
Practice Address - Country:US
Practice Address - Phone:734-712-2683
Practice Address - Fax:734-712-2473
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-28
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
MI5601002053363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical