Provider Demographics
NPI:1992791719
Name:MUENK-GOLD, SARAH B (MD)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:B
Last Name:MUENK-GOLD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29753 HOOVER RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:WARREN
Mailing Address - State:MI
Mailing Address - Zip Code:48093-8900
Mailing Address - Country:US
Mailing Address - Phone:586-573-4333
Mailing Address - Fax:586-573-2149
Practice Address - Street 1:29753 HOOVER RD
Practice Address - Street 2:SUITE A
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48093-8900
Practice Address - Country:US
Practice Address - Phone:586-573-4333
Practice Address - Fax:586-573-2149
Is Sole Proprietor?:No
Enumeration Date:2005-09-27
Last Update Date:2011-09-14
Deactivation Date:2006-03-24
Deactivation Code:
Reactivation Date:2006-04-05
Provider Licenses
StateLicense IDTaxonomies
MI4301078168207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4775250Medicaid
MII27066Medicare UPIN
MIM218407Medicare ID - Type Unspecified
M218407Medicare PIN