Healthcare Provider Details

I. General information

NPI: 1568555100
Provider Name (Legal Business Name): HAROLD D STERLING JR. DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/02/2006
Last Update Date: 08/23/2022
Certification Date: 08/23/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6452 MLLENNIUM DR 130
LANSING MI
48917
US

IV. Provider business mailing address

801 JOE MANN BLVD STE P-6
MIDLAND MI
48642-8900
US

V. Phone/Fax

Practice location:
  • Phone: 517-321-1199
  • Fax: 517-321-1117
Mailing address:
  • Phone: 989-791-2455
  • Fax: 989-791-1392

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License Number5901000894
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: