Healthcare Provider Details

I. General information

NPI: 1720094337
Provider Name (Legal Business Name): ST PETER MEDICAL CENTER PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/01/2006
Last Update Date: 10/27/2025
Certification Date: 10/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3058 METROPOLITAN PKWY #204
STERLING HEIGHTS MI
48310-3671
US

IV. Provider business mailing address

3142 ALBANY DR
STERLING HEIGHTS MI
48310-2927
US

V. Phone/Fax

Practice location:
  • Phone: 586-698-2358
  • Fax: 586-698-2169
Mailing address:
  • Phone: 586-698-2358
  • Fax: 586-698-2169

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: LABEED NOURI
Title or Position: PRESIDENT
Credential: M.D.
Phone: 586-698-2358