Provider Demographics
NPI:1477515963
Name:CLUNE, SARAH E (DO)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:E
Last Name:CLUNE
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:24 FRANK LLOYD DRIVE
Mailing Address - Street 2:STE J2000
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48105
Mailing Address - Country:US
Mailing Address - Phone:248-855-7510
Mailing Address - Fax:248-855-5626
Practice Address - Street 1:28300 ORCHARD LAKE RD
Practice Address - Street 2:STE 100
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334
Practice Address - Country:US
Practice Address - Phone:248-855-7510
Practice Address - Fax:248-855-5626
Is Sole Proprietor?:No
Enumeration Date:2006-04-03
Last Update Date:2022-07-09
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Provider Licenses
StateLicense IDTaxonomies
MI5101007603208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI192732011Medicaid
F03725Medicare UPIN
56302491Medicare ID - Type Unspecified