Provider Demographics
NPI:1275797946
Name:WILSON, SARAH E (MD)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:E
Last Name:WILSON
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:44250 DEQUINDRE RD
Mailing Address - Street 2:
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48314-1002
Mailing Address - Country:US
Mailing Address - Phone:248-964-0400
Mailing Address - Fax:248-964-0401
Practice Address - Street 1:1627 W BIG BEAVER RD
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48084-3501
Practice Address - Country:US
Practice Address - Phone:248-220-1560
Practice Address - Fax:248-220-1563
Is Sole Proprietor?:No
Enumeration Date:2008-07-11
Last Update Date:2021-01-18
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Provider Licenses
StateLicense IDTaxonomies
MI4301092512207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine