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Individual

MS. SARA ANN DANIEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN/NP

Contact information

Practice address
4260 PLYMOUTH RD, ANN ARBOR, MI 48109
(734) 764-6831
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704092415
MI
363LF0000X
Family Nurse Practitioner
4704092415
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4702431-10
MI
05
4702440-10
MI
01
SD092415
BLUE SHIELD
MI
Enumeration date
08/10/2006
Last updated
05/12/2008
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