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Organization
PROVIDENCE-PROVIDENCE PARK HOSPITAL
Active
Organization
PROVIDENCE-PROVIDENCE PARK HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH LYNN STARKEL (CREDENTIALING COORDINATOR)
(248) 680-8121
Entity
Organization
Contact information
Practice address
16001 W 9 MILE RD, SOUTHFIELD, MI 48075-4818
(248) 746-5896
(248) 746-0384
Mailing address
28000 DEQUINDRE RD, WARREN, MI 48092-2468
(248) 680-8000
(248) 292-3852
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
—
Other
Enumeration date
01/04/2018
Last updated
06/28/2022
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