SearchMichigan104100000X

Sarah Domke

NPI 1124913991 · on the registry since 2025 · sole proprietor

Practice

Address
3590 Whispering Brook Dr Se
Kentwood, MI 49508
Phone
(616) 283-9464

Registry record

Primary taxonomy
104100000X
104100000X
Also registered as
1041C0700X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-01-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan