| Sterling Family Medicine Pc | |
|
2539 E 12 Mile Rd Warren MI 48092-5648 | |
| (586) 558-5075 | |
| Not Available |
| Full Name | Sterling Family Medicine Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 2539 E 12 Mile Rd, Warren, Michigan |
| Authorized Official Name and Position | Oleh J Bolukh (PRESIDENT) |
| Authorized Official Contact | 5865585075 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sterling Family Medicine Pc 2539 E 12 Mile Rd Warren MI 48092-5648 Ph: (586) 558-5075 | Sterling Family Medicine Pc 2539 E 12 Mile Rd Warren MI 48092-5648 Ph: (586) 558-5075 |
| NPI Number | 1326381393 |
|---|---|
| Provider Enumeration Date | 03/28/2013 |
| Last Update Date | 03/28/2013 |
| Medicare PECOS PAC ID | 7911146782 |
|---|---|
| Medicare Enrollment ID | O20130627000210 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326381393 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301083381 (Michigan) | Primary |
| Provider Name | Oleh J Bolukh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598941148 PECOS PAC ID: 6002974821 Enrollment ID: I20081023000433 |
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