| Organization Name: | ST PETER MEDICAL CENTER PC |
| NPI Number: | 1720094337 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LABEED NOURI (PRESIDENT) |
| Mailing Address: | 3058 Metropolitan Pkwy #204 Sterling Heights |
| State: | MI US |
| Postal Code: | 483103671 |
| Phone Number: | 5866982358 |
| Fax Number: | 5866982169 |
| NPI Enumeration Date: | 08/01/2006 |
| NPI Last Update Date: | 03/14/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |