Sara Lynn Deatsman
Obstetrician & Gynecologist Obstetrician
3300 W Centre Ave
Portage
, Michigan 49024-4666
Sara Lynn Deatsman
Obstetrician & Gynecologist Obstetrician
3300 W Centre Ave
Portage
, Michigan 49024-4666
(269) 327-0273
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About
Features
Specialties
- Obstetrician & Gynecologist
- Obstetrician
Languages spoken
- English
Location
First Address
- Sara Lynn Deatsman
- 3300 W Centre Ave
- Portage, MI
- Zip : 49024-4666
- Fax : (269) 327-0273
- Phone : (269) 327-2211
Second Address
- Sara Lynn Deatsman
- 3300 W Centre Ave
- Portage, MI
- Zip : 49024-4666
- Fax : (269) 327-0273
- Phone : (269) 327-2211
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207V00000X | Obstetrician & Gynecologist | TRN 17213 | FL |
| N | 207VX0000X | Obstetrician | 4301109424 | MI |
National Provider Identifier
| NPI | 1083976682 |
|---|---|
| Provider Name | Sara Lynn Deatsman |
| First Address | Portage, MI 49024-4666 |
| Second Address | Portage, MI 49024-4666 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/06/2012 |
| Last Update Date | 02/10/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.