Individual
SARA MARQUARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6777 W MAPLE RD, WEST BLOOMFIELD, MI 48322-3013
(248) 325-1000
Mailing address
1 FORD PL STE 3A, DETROIT, MI 48202-3450
(313) 876-4806
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
4704246583
MI
364S00000X
Clinical Nurse Specialist
4704246583NSA200IC
MI
364SG0600X
Gerontology Clinical Nurse Specialist
Primary
4704246583
MI
Other
Enumeration date
10/02/2020
Last updated
08/08/2023
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