Provider Demographics
NPI:1255300075
Name:STERN, SHELDON L (DO)
Entity Type:Individual
Prefix:DR
First Name:SHELDON
Middle Name:L
Last Name:STERN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:27275 HAGGERTY RD STE 500
Mailing Address - Street 2:
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48377-3635
Mailing Address - Country:US
Mailing Address - Phone:248-741-6901
Mailing Address - Fax:248-513-4320
Practice Address - Street 1:23133 ORCHARD LAKE RD STE 102
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:MI
Practice Address - Zip Code:48336-3278
Practice Address - Country:US
Practice Address - Phone:248-476-2420
Practice Address - Fax:248-478-7680
Is Sole Proprietor?:No
Enumeration Date:2006-03-15
Last Update Date:2021-02-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MISS009136207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI080028850OtherMEDICARE RAILROAD
C3314OtherMCARE
MI5630136OtherBCBS
103553OtherPREFERRED CHOICES CARE CH
MI1948296Medicaid