Individual
SARA J UEKERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
970 PARCHMENT DR SE, SUITE 203, GRAND RAPIDS, MI 49546-8302
(616) 949-4840
(616) 949-3531
Mailing address
970 PARCHMENT DRIVE SE, SUITE 203, GRAND RAPIDS, MI 49546
(616) 949-4840
(616) 949-3531
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
4301076495
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0411510
BCBSM PIN # INDIVIDUAL
MI
01
—
110D111480
BCBSM GRP PRACTICE #
MI
05
—
4790971
—
MI
Enumeration date
08/18/2006
Last updated
09/15/2011
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