Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YS0123X | Facial Plastic Surgeon | 3681 | TN |
N | 207YS0123X | Facial Plastic Surgeon | 5101021207 | MI |
NPI | 1265847040 |
---|---|
Provider Name | Dr. Mitchel Sauvageau |
First Address | Nashville, TN 37205-2382 |
Second Address | Nashville, TN 37205-4900 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2014 |
Last Update Date | 21/06/2019 |