Healthcare Provider Details

I. General information

NPI: 1649072950
Provider Name (Legal Business Name): SARAH BECKER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2025
Last Update Date: 07/25/2026
Certification Date: 07/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 E MEDICAL CENTER DR DEPARTMENT OF DERMATOLOGY
ANN ARBOR MI
48109-5000
US

IV. Provider business mailing address

1500 E MEDICAL CENTER DR DERMATOLOGY DEPARTMENT
ANN ARBOR MI
48109-5000
US

V. Phone/Fax

Practice location:
  • Phone: 734-936-4054
  • Fax: 734-647-2540
Mailing address:
  • Phone: 734-936-4054
  • Fax: 734-647-2540

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number435105513
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: