MEDICARE: DR. RANDALL H STURM MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	4301043444	MI

General Provider Information

NPI Number	:	1740235126
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RANDALL H STURM MD

Provider Business Mailing Address
First Line	:	PO BOX 320103
Second Line	:
City	:	FLINT
State	:	MI
Zip	:	48532-0002
Country	:	US
Telephone Number	:	810-733-8744
Fax Number	:	810-733-8613

Provider Business Practice Location Address
First Line	:	1284 S LINDEN RD
Second Line	:
City	:	FLINT
State	:	MI
Zip	:	48532-3407
Country	:	US
Telephone Number	:	810-733-8744
Fax Number	:	810-733-8613

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/23/2006
Last Update Date	:	01/26/2026

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