MEDICARE: SARAH E TINSLER DO

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
1	207R00000X	Internal Medicine Physician	5101020318	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	5101020318	OTHER	MI	MICHIGAN EDUCATIONAL LICENSE

General Provider Information

NPI Number	:	1134484744
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH E TINSLER DO

Provider Business Mailing Address
First Line	:	55840 GRAND RIVER AVE STE 300
Second Line	:
City	:	NEW HUDSON
State	:	MI
Zip	:	48165-9717
Country	:	US
Telephone Number	:	248-633-4769
Fax Number	:	248-264-6208

Provider Business Practice Location Address
First Line	:	55840 GRAND RIVER AVE STE 300
Second Line	:
City	:	NEW HUDSON
State	:	MI
Zip	:	48165-9717
Country	:	US
Telephone Number	:	313-803-5917
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/10/2012
Last Update Date	:	10/29/2019

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Directions to “ SARAH E TINSLER DO” Practice Location

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