Organization Name: | STERLING MEDICAL CLINIC PLLC |
NPI Number: | 1275767592 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BRENT SMITH (DIRECTOR) |
Mailing Address: | 13439 E 14 Mile Rd Sterling Heights |
State: | MI US |
Postal Code: | 483126304 |
Phone Number: | 5869773900 |
Fax Number: | 5869776084 |
NPI Enumeration Date: | 05/14/2009 |
NPI Last Update Date: | 01/04/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |