Healthcare Provider Details

I. General information

NPI: 1467660449
Provider Name (Legal Business Name): JAMES ROBERT LITTLE MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2007
Last Update Date: 01/18/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35200 DEQUINDRE RD
STERLING HEIGHTS MI
48310-4837
US

IV. Provider business mailing address

35200 DEQUINDRE RD
STERLING HEIGHTS MI
48310-4837
US

V. Phone/Fax

Practice location:
  • Phone: 586-826-8600
  • Fax: 586-826-8931
Mailing address:
  • Phone: 586-826-8600
  • Fax: 586-826-8931

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberJL063594
License Number StateMI

VIII. Authorized Official

Name: DR. JAMES R LITTLE
Title or Position: OWNER
Credential: MD
Phone: 248-288-6900