Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 5101018723 | MI |
N | 207YS0123X | Facial Plastic Surgeon | 5101018723 | MI |
NPI | 1811202948 |
---|---|
Provider Name | Dr. Said S Sana |
First Address | Jackson, MI 49201-2461 |
Second Address | Jackson, MI 49201-2461 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/08/2010 |
Last Update Date | 16/02/2021 |