Individual
SARA TIDROW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
15125 22 MILE RD, SHELBY TOWNSHIP, MI 48315-4406
(586) 532-0599
Mailing address
5500 WOODMIRE DR, SHELBY TOWNSHIP, MI 48316-1745
(586) 216-3547
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704223701
MI
Other
Enumeration date
05/05/2022
Last updated
05/05/2022
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