Provider Demographics
NPI:1437770054
Name:MAXFIELD, STERLING RYAN (PA-C)
Entity Type:Individual
Prefix:MR
First Name:STERLING
Middle Name:RYAN
Last Name:MAXFIELD
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6187 OAK GROVE RD
Mailing Address - Street 2:
Mailing Address - City:HOWELL
Mailing Address - State:MI
Mailing Address - Zip Code:48855-8247
Mailing Address - Country:US
Mailing Address - Phone:517-518-4212
Mailing Address - Fax:
Practice Address - Street 1:6187 OAK GROVE RD
Practice Address - Street 2:
Practice Address - City:HOWELL
Practice Address - State:MI
Practice Address - Zip Code:48855-8247
Practice Address - Country:US
Practice Address - Phone:517-518-4212
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-05
Last Update Date:2020-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical