Provider Demographics
NPI:1649220708
Name:JONES, SARAH M (DO)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:M
Last Name:JONES
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:37400 GARFIELD RD
Mailing Address - Street 2:STE 200
Mailing Address - City:CLINTON TWP
Mailing Address - State:MI
Mailing Address - Zip Code:48036-3648
Mailing Address - Country:US
Mailing Address - Phone:810-342-1000
Mailing Address - Fax:810-342-1590
Practice Address - Street 1:39373 GARFIELD RD.
Practice Address - Street 2:
Practice Address - City:CLINTON TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48038-2794
Practice Address - Country:US
Practice Address - Phone:586-286-4880
Practice Address - Fax:586-286-1102
Is Sole Proprietor?:No
Enumeration Date:2006-05-11
Last Update Date:2019-04-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI5101013232207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1022819OtherMHP HAN
MI160D410050OtherBCBS
MI4505998Medicaid
MI4961756Medicaid
MI4234590Medicaid
MI4203010Medicaid
MI1022819OtherMHP HAN
MI4505998Medicaid
MIH18676Medicare UPIN