Provider Demographics
NPI:1912033754
Name:SADOWSKI, MICHAEL (DC)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:
Last Name:SADOWSKI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2624 S MILFORD RD
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48357-4938
Mailing Address - Country:US
Mailing Address - Phone:248-684-4449
Mailing Address - Fax:248-684-4413
Practice Address - Street 1:2624 S MILFORD RD
Practice Address - Street 2:
Practice Address - City:HIGHLAND
Practice Address - State:MI
Practice Address - Zip Code:48357-4938
Practice Address - Country:US
Practice Address - Phone:248-684-4449
Practice Address - Fax:248-684-4413
Is Sole Proprietor?:No
Enumeration Date:2007-02-26
Last Update Date:2007-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301007425111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CH630170OtherMCARE
MI629128OtherAMERICAN CHIRO NETWORK
MI0F35447OtherBLUE CARE NETWORK
MI0F35447OtherBCBSM
MI133366OtherPREFERRED CHOICES PPO
MIU71770Medicare UPIN
MI0M91990Medicare ID - Type UnspecifiedMEDICARE