| L Michael Sterenberg Do Pllc | |
|
600 Park Ave Grand Haven MI 49417-2173 | |
| (616) 847-8700 | |
| (616) 847-1049 |
| Full Name | L Michael Sterenberg Do Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 600 Park Ave, Grand Haven, Michigan |
| Authorized Official Name and Position | Lee Michael Sterenberg (PHYSICIAN/OWNER) |
| Authorized Official Contact | 6168478700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| L Michael Sterenberg Do Pllc 600 Park Ave Ste 4 Grand Haven MI 49417-2173 Ph: (616) 847-8700 | L Michael Sterenberg Do Pllc 600 Park Ave Grand Haven MI 49417-2173 Ph: (616) 847-8700 |
| NPI Number | 1306036090 |
|---|---|
| Provider Enumeration Date | 07/28/2007 |
| Last Update Date | 09/16/2021 |
| Medicare PECOS PAC ID | 1355439704 |
|---|---|
| Medicare Enrollment ID | O20071119000114 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306036090 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 5101009998 (Michigan) | Primary |
| Provider Name | Lee Michael Sterenberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003811092 PECOS PAC ID: 6800798802 Enrollment ID: I20061012000072 |
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