Doctor Name: | SARA RENEE TILL |
NPI Number: | 1063705374 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 174021 |
Business Practice Address: | 1500 E Medical Center Drive 9th Floor Vonvoightlander Womens Hosp Recp B Ann Arbor, MI - 481094276 |
Business Phone Number: | 7347636295 |
Business Fax Number: | |
Mailing Address: | 3621 S State St, 700 Kms Place ANN ARBOR |
State: | MI |
Postal Code: | 48108 |
Phone Number: | 7349362047 |
Fax Number: | |
NPI Enumeration Date: | 05/19/2011 |
NPI Last Update Date: | 05/07/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | 174021 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NC |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |