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Individual

SARA ANN MICHAELS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
US HIGHWAY 491 N, SHIPROCK, NM 87420
(505) 368-7010
(505) 368-7011
Mailing address
PO BOX 160, SHIPROCK, NM 87420-0160
(505) 368-7010
(505) 368-7011

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00037775
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
22374779
CO
05
579360
AZ
05
F1219
NM
Enumeration date
10/14/2005
Last updated
08/10/2021
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