| NPI | 1922063213 |
|---|---|
| Other Name | PH INTERNAL MEDICINE/PROVIDENCE HOSPITAL AND MEDICAL CENTERS INC |
| Entity Type | Organization |
| Authorized Contact | SARAH STARKEL Credentialing Supervisor 248-680-8121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health |
| 251J00000X Nursing Care | |
| 163WD0400X Registered Nurse, Diabetes Educator | |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2023-11-15 |