Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | 3664 | IA |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | DO-03664 | IA |
NPI | 1154319358 |
---|---|
Provider Name | Dr. Michael J Sarik |
First Address | Mason City, IA 50401-2926 |
Second Address | Mason City, IA 50401-2926 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/10/2005 |
Last Update Date | 06/07/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F76180 | (02) | IA |