Provider Demographics
NPI:1568720787
Name:SOKOLOV, SARAH L (PA)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:L
Last Name:SOKOLOV
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:4401 N CAMPUS RIDGE DR
Mailing Address - Street 2:SUITE B2200
Mailing Address - City:MIDLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48640-6112
Mailing Address - Country:US
Mailing Address - Phone:989-837-9400
Mailing Address - Fax:989-837-9410
Practice Address - Street 1:4401 CAMPUS RIDGE DR STE LL110
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:MI
Practice Address - Zip Code:48640-6126
Practice Address - Country:US
Practice Address - Phone:989-837-9400
Practice Address - Fax:989-837-9410
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-25
Last Update Date:2022-07-21
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Provider Licenses
StateLicense IDTaxonomies
MI5601006306363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant