Provider Demographics
NPI:1790151264
Name:SACHS, MIKA WEXLER (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:MIKA
Middle Name:WEXLER
Last Name:SACHS
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:11900 EAST 12 MILE ROAD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:WARREN
Mailing Address - State:MI
Mailing Address - Zip Code:48093
Mailing Address - Country:US
Mailing Address - Phone:586-574-2800
Mailing Address - Fax:586-574-2803
Practice Address - Street 1:11900 EAST 12 MILE ROAD
Practice Address - Street 2:SUITE 201
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48093
Practice Address - Country:US
Practice Address - Phone:586-574-2800
Practice Address - Fax:586-574-2803
Is Sole Proprietor?:No
Enumeration Date:2015-08-19
Last Update Date:2017-04-13
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Provider Licenses
StateLicense IDTaxonomies
MI5601007447363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant