Individual
MS. STARR AYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 E. TWELVE MILE ROAD, MADISON HEIGHTS, MI 48071-0000
(248) 547-2223
Mailing address
21460 MAC ARTHUR BLVD, WARREN, MI 48089-3038
(248) 547-2223
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OP12910
—
MI
Enumeration date
11/20/2006
Last updated
07/09/2007
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