Healthcare Provider Details

I. General information

NPI: 1285685503
Provider Name (Legal Business Name): SARA H GARMEL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2006
Last Update Date: 11/17/2020
Certification Date: 11/17/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2142 MONROE ST STE 100
DEARBORN MI
48124-3057
US

IV. Provider business mailing address

2142 MONROE ST STE 100
DEARBORN MI
48124-3057
US

V. Phone/Fax

Practice location:
  • Phone: 313-481-1030
  • Fax: 313-481-1031
Mailing address:
  • Phone: 313-481-1030
  • Fax: 313-481-1031

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License NumberSG071022
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: