Provider Demographics
NPI:1538617907
Name:SAUVIE, TARA LYNN (BA)
Entity type:Individual
Prefix:
First Name:TARA
Middle Name:LYNN
Last Name:SAUVIE
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4205 COLLEGIATE WAY
Mailing Address - Street 2:APT 315
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:MI
Mailing Address - Zip Code:48858-7210
Mailing Address - Country:US
Mailing Address - Phone:989-714-8776
Mailing Address - Fax:
Practice Address - Street 1:4205 COLLEGIATE WAY
Practice Address - Street 2:APT 315
Practice Address - City:MOUNT PLEASANT
Practice Address - State:MI
Practice Address - Zip Code:48858-7210
Practice Address - Country:US
Practice Address - Phone:989-714-8776
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-14
Last Update Date:2016-09-14
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other