Healthcare Provider Details

I. General information

NPI: 1922706332
Provider Name (Legal Business Name): TRANSITION & URGENT CARE TEAM PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/16/2023
Last Update Date: 03/10/2025
Certification Date: 03/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 HARRINGTON ST
MOUNT CLEMENS MI
48043-2920
US

IV. Provider business mailing address

23292 LIBERTY ST
SAINT CLAIR SHORES MI
48080-1509
US

V. Phone/Fax

Practice location:
  • Phone: 313-610-8019
  • Fax: 586-204-0169
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number
License Number State

VIII. Authorized Official

Name: KIMBERLIE STARICCO
Title or Position: MANAGER
Credential:
Phone: 313-610-8019