# MILES GRUBB ASSOCIATES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Star EMS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699863704
- **Authorized official:** WILLIAM GRUBB (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (248) 338-9335

## Contact information

- **Practice address:** 63 OAKLAND AVE, PONTIAC, MI 48342-2044
- **Practice address phone:** (248) 338-9335
- **Practice address fax:** (248) 338-9364
- **Mailing address:** PO BOX 420155, PONTIAC, MI 48342-0155
- **Mailing address phone:** (248) 338-9335
- **Mailing address fax:** (248) 338-9364

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 631074 | MI | Yes |

## Other

- **Enumeration date:** 10/11/2006
- **Last updated:** 03/14/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4523261 | — | MI |