Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | SG071022 | MI |
NPI | 1285685503 |
---|---|
Provider Name | Sara H Garmel |
First Address | Dearborn, MI 48124-3057 |
Second Address | Dearborn, MI 48124-3057 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/05/2006 |
Last Update Date | 17/11/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
104944620 | (05) | MI |
160H229520 | BCBSM (01) | MI |
364509477 | TAX ID (01) | MI |
4252007 | AETNA (01) | MI |
4944620 | (05) | MI |
F70638 | (02) | |
F70638 | UPIN (01) | MI |
SG071022 | LICENSE (01) | MI |