Provider Demographics
NPI:1194089672
Name:RODRIGUEZ, SARAH JUNE (MD)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:JUNE
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:450 FOUNTAIN ST NE
Mailing Address - Street 2:APT. 3
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49503-5605
Mailing Address - Country:US
Mailing Address - Phone:734-846-3296
Mailing Address - Fax:
Practice Address - Street 1:1471 E BELTLINE AVE NE STE 201
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49525-4548
Practice Address - Country:US
Practice Address - Phone:616-685-8620
Practice Address - Fax:616-447-7674
Is Sole Proprietor?:No
Enumeration Date:2012-06-28
Last Update Date:2022-07-21
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Provider Licenses
StateLicense IDTaxonomies
MI4301100769207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine