Healthcare Provider Details

I. General information

NPI: 1265450324
Provider Name (Legal Business Name): SARAH M WILHELM MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2006
Last Update Date: 04/07/2025
Certification Date: 04/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19 N 7TH ST
CHENEY WA
99004-2220
US

IV. Provider business mailing address

19 N 7TH ST
CHENEY WA
99004-2220
US

V. Phone/Fax

Practice location:
  • Phone: 509-235-6151
  • Fax: 509-235-2468
Mailing address:
  • Phone: 509-235-6151
  • Fax: 509-235-2468

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberMD.200509
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD00041346
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: