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NPI Code Detail

MEDICARE: STERLING MEDICAL CLINIC PLLC

MEDICARE: STERLING MEDICAL CLINIC PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1291U00000XClinical Medical Laboratory

General Provider Information

NPI Number : 1356678544
Entity Type Code : Organization
Provider Name (Legal Business Name) : STERLING MEDICAL CLINIC PLLC
Provider Business Mailing Address
First Line : 30781 STEPHENSON HWY
Second Line :
City : MADISON HTS
State : MI
Zip : 48071-1618
Country : US
Telephone Number : 248-583-8922
Fax Number : 248-583-8969
Provider Business Practice Location Address
First Line : 13439 E 14 MILE RD
Second Line :
City : STERLING HEIGHTS
State : MI
Zip : 48312-6304
Country : US
Telephone Number : 586-977-3900
Fax Number : 586-977-6084
Authorized Official
Title or Position : MEDICAL DIRECTOR
Name : BRENT SMITH
Credential : DO
Telephone Number : 586-977-3900
Provider Enumeration Date : 11/09/2009
Last Update Date : 11/09/2009

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1689976136 — STERLING MEDICAL CLINIC PLLC
Practice Location Address:
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Practice Fax: 586-977-6084

Directions to “STERLING MEDICAL CLINIC PLLC ” Practice Location

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