Provider Demographics
NPI:1528447984
Name:SIMONS, SARA LIEBLEIN (MD)
Entity type:Individual
Prefix:DR
First Name:SARA
Middle Name:LIEBLEIN
Last Name:SIMONS
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:3034 WOODSLEE DR
Mailing Address - Street 2:
Mailing Address - City:ROYAL OAK
Mailing Address - State:MI
Mailing Address - Zip Code:48073-2937
Mailing Address - Country:US
Mailing Address - Phone:248-535-3259
Mailing Address - Fax:
Practice Address - Street 1:11051 HALL RD STE 110
Practice Address - Street 2:
Practice Address - City:UTICA
Practice Address - State:MI
Practice Address - Zip Code:48317-5737
Practice Address - Country:US
Practice Address - Phone:586-726-6556
Practice Address - Fax:586-726-6556
Is Sole Proprietor?:No
Enumeration Date:2015-05-19
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301107261207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology