MEDICARE: SARA ELIZABETH WHEDON D.C.

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	111N00000X	Chiropractor	2301009647	MI

General Provider Information

NPI Number	:	1285966325
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARA ELIZABETH WHEDON D.C.

Provider Business Mailing Address
First Line	:	328 EAST ST
Second Line	:
City	:	ROCHESTER
State	:	MI
Zip	:	48307-2013
Country	:	US
Telephone Number	:	248-535-4840
Fax Number	:

Provider Business Practice Location Address
First Line	:	328 EAST ST
Second Line	:
City	:	ROCHESTER
State	:	MI
Zip	:	48307-2013
Country	:	US
Telephone Number	:	248-535-4840
Fax Number	:

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

Provider Enumeration Date	:	01/30/2010
Last Update Date	:	01/06/2011

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