Organization
ASCENSION PROVIDENCE HOSPITAL
Active
Other names
Michigan Institute for Sleep Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH STARKEL (MANAGER)
(248) 680-8121
Entity
Organization
Contact information
Practice address
47601 GRAND RIVER AVE, OUT PATIENT CENTER D203, NOVI, MI 48374-1233
(248) 465-4290
(248) 465-4883
Mailing address
28000 DEQUINDRE RD, WARREN, MI 48092-2468
(248) 680-8000
(248) 292-3852
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
MI
207RP1001X
Pulmonary Disease Physician
—
MI
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235194291
—
MH
Enumeration date
05/13/2014
Last updated
06/28/2022
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