Healthcare Provider Details

I. General information

NPI: 1881395234
Provider Name (Legal Business Name): MARK AND HOLLY STEARNS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/13/2023
Last Update Date: 09/06/2023
Certification Date: 09/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3095 N GENESEE RD
FLINT MI
48506-2198
US

IV. Provider business mailing address

3095 N GENESEE RD
FLINT MI
48506-2198
US

V. Phone/Fax

Practice location:
  • Phone: 810-624-6898
  • Fax: 810-715-9981
Mailing address:
  • Phone: 810-715-9988
  • Fax: 810-715-9981

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: HOLLY MUHL
Title or Position: OWNER
Credential: COTA/L
Phone: 810-624-6898