Organization
MILES GRUBB ASSOCIATES LLC
Active
Other names
Star EMS
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM GRUBB (CHIEF EXECUTIVE OFFICER)
(248) 338-9335
Entity
Organization
Contact information
Practice address
63 OAKLAND AVE, PONTIAC, MI 48342-2044
(248) 338-9335
(248) 338-9364
Mailing address
PO BOX 420155, PONTIAC, MI 48342-0155
(248) 338-9335
(248) 338-9364
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
631074
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4523261
—
MI
Enumeration date
10/11/2006
Last updated
03/14/2023
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