Healthcare Provider Details

I. General information

NPI: 1689976136
Provider Name (Legal Business Name): STERLING MEDICAL CLINIC PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/03/2010
Last Update Date: 12/03/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13439 E 14 MILE RD
STERLING HEIGHTS MI
48312-6304
US

IV. Provider business mailing address

13439 E 14 MILE RD
STERLING HEIGHTS MI
48312-6304
US

V. Phone/Fax

Practice location:
  • Phone: 586-977-3900
  • Fax: 586-977-6084
Mailing address:
  • Phone: 586-977-3900
  • Fax: 586-977-6084

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. KAYLA LEO
Title or Position: BILLING MANAGER
Credential:
Phone: 586-977-3900