Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ascension Providence Hospital

Organization Allergy & Immunology Physician · NPI 1730575085

Ascension Providence Hospital is an Allergy & Immunology Physician in Southfield, Michigan. Licensed in Michigan. Registered with an NPI since 2015.

Licensed in
MI
In the registry since
2015
Specialties on file
5

Practice location Address checks out

16001 W 9 Mile Rd
Southfield, MI 48075-4818
Phone: (248) 849-2561
Fax: (248) 849-8313
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 4301056134 (MI)
Allergy & Immunology Physician Taxonomy 207K00000X · Licence 4301059442 (MI)
Interventional Cardiology Physician Taxonomy 207RI0011X · Licence 4301058284 (MI)
Pulmonary Disease Physician Taxonomy 207RP1001X · Licence 4301067318 (MI)
Neurology Physician Taxonomy 2084N0400X · Licence 4301055579 (MI)

Record details

NPI number1730575085
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sarah Starkel — Supervisor, Enrollment · (248) 680-8121
Other names Telemedicine/Virtual Clinic; Telemedicine/Virtual Clinic
NPI enumeratedApril 14, 2015
Last updated in NPPESJune 28, 2022
Certification dateJune 28, 2022
Mailing address28000 Dequindre Rd, Warren, MI 48092-2468

Other providers in Southfield