Healthcare Provider Details

I. General information

NPI: 1588542369
Provider Name (Legal Business Name): DARIA STERP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/21/2025
Last Update Date: 05/10/2026
Certification Date: 05/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23455 MICHIGAN AVE
DEARBORN MI
48124-1908
US

IV. Provider business mailing address

22927 LINCOLN ST
SAINT CLAIR SHORES MI
48082-1784
US

V. Phone/Fax

Practice location:
  • Phone: 248-379-7561
  • Fax:
Mailing address:
  • Phone: 248-379-7561
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: