Individual
MARK K STERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2333 BIDDLE ST, WYANDOTTE, MI 48192-4668
(313) 284-9400
Mailing address
2000 GREEN RD, SUITE 300, ANN ARBOR, MI 48105-1598
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
077271
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4280299
—
MI
05
—
4283746
—
MI
05
—
4290820
—
MI
05
—
4748092
—
MI
05
—
4838224
—
MI
01
—
MS077271
BLUE CROSS BLUE SHIELD
MI
Enumeration date
06/03/2006
Last updated
06/05/2008
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