Provider Demographics
NPI:1164218632
Name:SARZYNSKI, ISABELLE GRACE
Entity type:Individual
Prefix:
First Name:ISABELLE
Middle Name:GRACE
Last Name:SARZYNSKI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1793 N LINVILLE ST
Mailing Address - Street 2:
Mailing Address - City:WESTLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48185-3529
Mailing Address - Country:US
Mailing Address - Phone:734-658-3649
Mailing Address - Fax:
Practice Address - Street 1:1793 N LINVILLE ST
Practice Address - Street 2:
Practice Address - City:WESTLAND
Practice Address - State:MI
Practice Address - Zip Code:48185-3529
Practice Address - Country:US
Practice Address - Phone:734-658-3649
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-19
Last Update Date:2025-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program