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NPI Code Detail

MEDICARE: ST PETER MEDICAL CENTER PC

MEDICARE: ST PETER MEDICAL CENTER PC
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
1208D00000XGeneral Practice Physician
2208600000XSurgery Physician

General Provider Information

NPI Number : 1720094337
Entity Type Code : Organization
Provider Name (Legal Business Name) : ST PETER MEDICAL CENTER PC
Provider Business Mailing Address
First Line : 3142 ALBANY DR
Second Line :
City : STERLING HEIGHTS
State : MI
Zip : 48310-2927
Country : US
Telephone Number : 586-698-2358
Fax Number : 586-698-2169
Provider Business Practice Location Address
First Line : 3058 METROPOLITAN PKWY
Second Line : #204
City : STERLING HEIGHTS
State : MI
Zip : 48310-3671
Country : US
Telephone Number : 586-698-2358
Fax Number : 586-698-2169
Authorized Official
Title or Position : PRESIDENT
Name : LABEED NOURI
Credential : M.D.
Telephone Number : 586-698-2358
Provider Enumeration Date : 08/01/2006
Last Update Date : 10/27/2025

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Directions to “ST PETER MEDICAL CENTER PC ” Practice Location

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