Provider Demographics
NPI:1558535245
Name:HAROLD D STERLING JR DPM, PC
Entity Type:Organization
Organization Name:HAROLD D STERLING JR DPM, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HAROLD
Authorized Official - Middle Name:D
Authorized Official - Last Name:STERLING
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:517-321-1199
Mailing Address - Street 1:3785 BAY RD
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48603-2433
Mailing Address - Country:US
Mailing Address - Phone:989-791-2455
Mailing Address - Fax:989-791-1392
Practice Address - Street 1:6452 MILLENNIUM
Practice Address - Street 2:STE 130
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48917-7881
Practice Address - Country:US
Practice Address - Phone:517-321-1199
Practice Address - Fax:517-321-1117
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-15
Last Update Date:2018-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1374266Medicaid
MI1374266Medicaid