Provider Demographics
NPI:1538828280
Name:SARTOR, JAY MICHAEL GRAHAM (NP)
Entity type:Individual
Prefix:
First Name:JAY
Middle Name:MICHAEL GRAHAM
Last Name:SARTOR
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Gender:M
Credentials:NP
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Mailing Address - Street 1:4601 ROCKY HILL DR
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSTON
Mailing Address - State:MI
Mailing Address - Zip Code:48895-9424
Mailing Address - Country:US
Mailing Address - Phone:517-604-0161
Mailing Address - Fax:
Practice Address - Street 1:4660 S HAGADORN RD STE 600
Practice Address - Street 2:
Practice Address - City:EAST LANSING
Practice Address - State:MI
Practice Address - Zip Code:48823-5383
Practice Address - Country:US
Practice Address - Phone:517-267-2460
Practice Address - Fax:517-884-8602
Is Sole Proprietor?:No
Enumeration Date:2021-12-09
Last Update Date:2023-10-04
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Provider Licenses
StateLicense IDTaxonomies
MI4704305333NSA210ZT363LG0600X
MI4704305333363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology