Healthcare Provider Details

I. General information

NPI: 1700988474
Provider Name (Legal Business Name): SARAH R SANCHEZ MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/02/2006
Last Update Date: 03/18/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4520 LINDEN CREEK PKWY STE F
FLINT MI
48507-2969
US

IV. Provider business mailing address

4520 LINDEN CREEK PKWY STE F
FLINT MI
48507-2969
US

V. Phone/Fax

Practice location:
  • Phone: 810-244-1168
  • Fax: 810-244-1172
Mailing address:
  • Phone: 810-244-1168
  • Fax: 810-244-1172

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number4301076593
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: