Healthcare Provider Details

I. General information

NPI: 1649220708
Provider Name (Legal Business Name): SARAH M. JONES D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2006
Last Update Date: 04/11/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

39373 GARFIELD RD.
CLINTON TOWNSHIP MI
48038-2794
US

IV. Provider business mailing address

37400 GARFIELD RD STE 200
CLINTON TWP MI
48036-3648
US

V. Phone/Fax

Practice location:
  • Phone: 586-286-4880
  • Fax: 586-286-1102
Mailing address:
  • Phone: 810-342-1000
  • Fax: 810-342-1590

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number5101013232
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: