Provider Demographics
NPI:1063730190
Name:BUR, SARAH
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:BUR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:350 N MAIN ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CHELSEA
Mailing Address - State:MI
Mailing Address - Zip Code:48118-1370
Mailing Address - Country:US
Mailing Address - Phone:734-433-1500
Mailing Address - Fax:734-433-1400
Practice Address - Street 1:350 N MAIN ST
Practice Address - Street 2:SUITE 100
Practice Address - City:CHELSEA
Practice Address - State:MI
Practice Address - Zip Code:48118-1370
Practice Address - Country:US
Practice Address - Phone:734-433-1500
Practice Address - Fax:734-433-1400
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-13
Last Update Date:2017-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301104638207R00000X, 207RA0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RA0401XAllopathic & Osteopathic PhysiciansInternal MedicineAddiction Medicine