Healthcare Provider Details

I. General information

NPI: 1093776981
Provider Name (Legal Business Name): SARAH ELIZABETH MCMILLAN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2006
Last Update Date: 08/04/2022
Certification Date: 08/04/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1427 CLARKVIEW RD STE 300E
BALTIMORE MD
21209-2100
US

IV. Provider business mailing address

5209 LAKE WASHINGTON BLVD NE SUITE 115
KIRKLAND WA
98033-7355
US

V. Phone/Fax

Practice location:
  • Phone: 410-296-0414
  • Fax:
Mailing address:
  • Phone: 425-822-0300
  • Fax: 425-822-4999

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: