| St Peter Medical Center Pc | |
|
3058 Metropolitan Pkwy #204 Sterling Heights MI 48310-3671 | |
| (586) 698-2358 | |
| (586) 698-2169 |
| Full Name | St Peter Medical Center Pc |
|---|---|
| Speciality | Surgery |
| Location | 3058 Metropolitan Pkwy, Sterling Heights, Michigan |
| Authorized Official Name and Position | Labeed Nouri (PRESIDENT) |
| Authorized Official Contact | 5866982358 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St Peter Medical Center Pc 3142 Albany Dr Sterling Heights MI 48310-2927 Ph: (586) 698-2358 | St Peter Medical Center Pc 3058 Metropolitan Pkwy #204 Sterling Heights MI 48310-3671 Ph: (586) 698-2358 |
| NPI Number | 1720094337 |
|---|---|
| Provider Enumeration Date | 08/01/2006 |
| Last Update Date | 03/14/2012 |
| Medicare PECOS PAC ID | 5597768739 |
|---|---|
| Medicare Enrollment ID | O20060809000044 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720094337 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 208600000X | Surgery | (* (Not Available)) | Primary |
| Provider Name | Labeed S Nouri |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1154355709 PECOS PAC ID: 5496708174 Enrollment ID: I20060809000078 |
| Provider Name | Ajiesh Avirah |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205320157 PECOS PAC ID: 3870022270 Enrollment ID: I20250130001395 |
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