Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 4301104638 | MI |
Y | 111NI0900X | Internist | 4301104638 | MI |
N | 207RA0401X | Internist - Addiction Medicine | 4301104638 | MI |
NPI | 1063730190 |
---|---|
Provider Name | Sarah Bur |
First Address | Chelsea, MI 48118-1370 |
Second Address | Chelsea, MI 48118-1370 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/05/2010 |
Last Update Date | 05/01/2017 |