Provider Demographics
NPI:1578879565
Name:BARNETT-HAMEN, SARA DANIELLE (MD)
Entity Type:Individual
Prefix:DR
First Name:SARA
Middle Name:DANIELLE
Last Name:BARNETT-HAMEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SARA
Other - Middle Name:DANIELLE
Other - Last Name:BARNETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1 SEAGATE
Mailing Address - Street 2:PEDIATRIC EDUCATION OFFICE
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43604-1558
Mailing Address - Country:US
Mailing Address - Phone:567-585-1918
Mailing Address - Fax:419-824-7359
Practice Address - Street 1:3901 BEAUBIEN ST
Practice Address - Street 2:PEDIATRIC EDUCATION OFFICE
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48201-2119
Practice Address - Country:US
Practice Address - Phone:313-966-0254
Practice Address - Fax:313-993-7118
Is Sole Proprietor?:No
Enumeration Date:2010-08-27
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301096925208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics