Provider Demographics
NPI:1730102682
Name:YONDER, SARAH A (MD)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:A
Last Name:YONDER
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:CENTRAL MICHIGAN UNIVERSITY HEALTH SERVICES
Mailing Address - Street 2:202 FOUST HALL
Mailing Address - City:MT PLEASANT
Mailing Address - State:MI
Mailing Address - Zip Code:48859-0001
Mailing Address - Country:US
Mailing Address - Phone:989-774-6581
Mailing Address - Fax:989-774-4335
Practice Address - Street 1:CENTRAL MICHIGAN UNIVERSITY HEALTH SERVICES
Practice Address - Street 2:202 FOUST HALL
Practice Address - City:MT PLEASANT
Practice Address - State:MI
Practice Address - Zip Code:48859-0001
Practice Address - Country:US
Practice Address - Phone:989-774-6581
Practice Address - Fax:989-774-4335
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2014-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MISY085191208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
MII41246Medicare UPIN