Provider Demographics
NPI:1407939614
Name:DANIEL, SARAH S (MD)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:S
Last Name:DANIEL
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:S
Other - Last Name:JACOB
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2020 MIDDLEBELT RD
Mailing Address - Street 2:GARDEN CITY MEDICAL CENTER PC
Mailing Address - City:GARDEN CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48135-2961
Mailing Address - Country:US
Mailing Address - Phone:734-522-3770
Mailing Address - Fax:734-522-6114
Practice Address - Street 1:2020 MIDDLEBELT RD
Practice Address - Street 2:GARDEN CITY MEDICAL CENTER PC
Practice Address - City:GARDEN CITY
Practice Address - State:MI
Practice Address - Zip Code:48135-2961
Practice Address - Country:US
Practice Address - Phone:734-522-3770
Practice Address - Fax:734-522-6114
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301067424208D00000X
CAA76561207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI383384090OtherTAXID FOR COMMERCIAL INS
4301067424OtherLIC #
MI4466343Medicaid