# PROVIDENCE-PROVIDENCE PARK HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295242824
- **Authorized official:** SARAH LYNN STARKEL (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (248) 680-8121

## Contact information

- **Practice address:** 16001 W 9 MILE RD, SOUTHFIELD, MI 48075-4818
- **Practice address phone:** (248) 746-5896
- **Practice address fax:** (248) 746-0384
- **Mailing address:** 28000 DEQUINDRE RD, WARREN, MI 48092-2468
- **Mailing address phone:** (248) 680-8000
- **Mailing address fax:** (248) 292-3852

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | — | — | Yes |

## Other

- **Enumeration date:** 01/04/2018
- **Last updated:** 06/28/2022