| Organization Name: | STAR HEALTH MULTI-SPECIALTY GROUP PC |
| NPI Number: | 1396847315 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PAMELA A ROUSH (VICE PRESIDENT CORPORATE OPERATIONS) |
| Mailing Address: | 451 Health Parkway Paw Paw |
| State: | MI US |
| Postal Code: | 49079 |
| Phone Number: | 2696578300 |
| Fax Number: | 2696578332 |
| NPI Enumeration Date: | 09/01/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM1300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Multi-Specialty |
| Taxonomy Definition: | |