Organization
STILLPOINT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA LEE MCGINNIS MT (OWNER)
(248) 410-4630
Entity
Organization
Contact information
Practice address
335 E HURON ST, MILFORD, MI 48381-2352
(248) 410-4630
Mailing address
335 E HURON ST, MILFORD, MI 48381-2352
(248) 410-4630
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
TRICARE
MI
Enumeration date
11/20/2015
Last updated
11/20/2015
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