Provider Demographics
NPI:1942881842
Name:MESSINA, SARAH EMILY (DPM)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:EMILY
Last Name:MESSINA
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:DR
Other - First Name:SARAH
Other - Middle Name:EMILY
Other - Last Name:CHMIELEWSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPM
Mailing Address - Street 1:5425 STOWE TRL
Mailing Address - Street 2:
Mailing Address - City:CLARKSTON
Mailing Address - State:MI
Mailing Address - Zip Code:48348-3747
Mailing Address - Country:US
Mailing Address - Phone:248-840-2186
Mailing Address - Fax:
Practice Address - Street 1:1251 S LAPEER RD STE 101
Practice Address - Street 2:
Practice Address - City:LAKE ORION
Practice Address - State:MI
Practice Address - Zip Code:48360-1415
Practice Address - Country:US
Practice Address - Phone:248-693-7700
Practice Address - Fax:248-693-3032
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-21
Last Update Date:2024-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI390200000X
MI5901400532213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program