IndividualActive
Dima Sprague
NPI 1275872376 · Surgical Physician Assistant · Warren, MI
Provider details
- NPI number
- 1275872376
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 5601006517 (MI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
28800 Ryan Rd
Warren, MI 48092-4272
Phone: (586) 577-9444
Approximate (ZIP-level) locationGet directions
Mailing address
6924 Appoline St
Dearborn, MI 48126-1989
Registry dates
- Enumerated
- 2013-02-08
- Last updated
- 2017-02-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.