Healthcare Provider Details

I. General information

NPI: 1225185036
Provider Name (Legal Business Name): SHIRLEE E. KUHL D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/04/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

HENRY FORD HEALTH SYSTEM 14500 HALL ROAD
STERLING HEIGHTS MI
48313
US

IV. Provider business mailing address

HENRY FORD HEALTH SYSTEM 14500 HALL ROAD
STERLING HEIGHTS MI
48313
US

V. Phone/Fax

Practice location:
  • Phone: 586-247-2940
  • Fax: 586-247-3733
Mailing address:
  • Phone: 586-247-2940
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number5101008622
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: