Provider Demographics
NPI:1174673297
Name:SARLE, MAUREEN C (MD)
Entity Type:Individual
Prefix:
First Name:MAUREEN
Middle Name:C
Last Name:SARLE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4421 N VERONA CIR
Mailing Address - Street 2:
Mailing Address - City:ROYAL OAK
Mailing Address - State:MI
Mailing Address - Zip Code:48073-6327
Mailing Address - Country:US
Mailing Address - Phone:248-875-1775
Mailing Address - Fax:
Practice Address - Street 1:4421 N VERONA CIR
Practice Address - Street 2:
Practice Address - City:ROYAL OAK
Practice Address - State:MI
Practice Address - Zip Code:48073-6327
Practice Address - Country:US
Practice Address - Phone:248-875-1775
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA230701207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery