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NPI Code Detail

MEDICARE: MS. SARA REID HINDERER DNP

MEDICARE: MS. SARA REID HINDERER DNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner4704075804MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11020214OTHERMIMCLAREN HEALTH PLAN
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
31035366OTHERMIHEALTHPLUS OF MICHIGAN
4381908328-329OTHERMICARE SOURCE OF MICHIGAN
5500G310570OTHERMNBLUE CROSS BLUE SHIELD OF MICHIGAN
61033113444OTHERMIMOLINA HEALTH CARE OF MICHIGAN
7154584OTHERMIGREAT LAKES HEALTH PLAN

General Provider Information

NPI Number : 1033113444
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SARA REID HINDERER DNP
Provider Business Mailing Address
First Line : 501 LAPEER
Second Line :
City : SAGINAW
State : MI
Zip : 48607-1208
Country : US
Telephone Number : 989-759-6464
Fax Number : 989-399-8233
Provider Business Practice Location Address
First Line : 1522 JANES AVE
Second Line :
City : SAGINAW
State : MI
Zip : 48601-1819
Country : US
Telephone Number : 989-755-0316
Fax Number : 989-755-0956
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2005
Last Update Date : 10/06/2011

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