Organization
ASCENSION ST JOHN HOSPITAL
Active
Other names
Newland Medical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH LYNN STARKEL (CREDENTIALING COORDINATOR)
(248) 680-8121
Entity
Organization
Contact information
Practice address
22301 FOSTER WINTER DR, 2N FLOOR, SOUTHFIELD, MI 48075-3707
(248) 552-0620
(248) 557-3398
Mailing address
22301 FOSTER WINTER DR, 2ND FLOOR, SOUTHFIELD, MI 48075-3707
(248) 552-0620
(248) 557-3398
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
MI
207RI0200X
Infectious Disease Physician
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0F39573
BLUE CROSS
MI
Enumeration date
03/29/2011
Last updated
12/10/2018
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