Individual
STERLING WISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1045 COOK RD, GROSSE POINTE WOODS, MI 48236-2509
(313) 444-9348
Mailing address
2127 LENNON ST, GROSSE POINTE WOODS, MI 48236-1657
(313) 544-8073
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
—
—
225100000X
Physical Therapist
—
—
2255A2300X
Athletic Trainer
—
—
226300000X
Kinesiotherapist
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NO SUCH NUMBERS
—
Enumeration date
10/19/2021
Last updated
10/19/2021
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