Provider Demographics
NPI:1891332730
Name:GANGLER, SARAH MICHAELA
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:MICHAELA
Last Name:GANGLER
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 1:1230 LITTLE DR APT A114
Mailing Address - Street 2:
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49006-5757
Mailing Address - Country:US
Mailing Address - Phone:989-551-0083
Mailing Address - Fax:
Practice Address - Street 1:55378 WILBUR RD
Practice Address - Street 2:
Practice Address - City:THREE RIVERS
Practice Address - State:MI
Practice Address - Zip Code:49093-8815
Practice Address - Country:US
Practice Address - Phone:269-279-7441
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-10
Last Update Date:2019-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker