Organization · NPI-2

Advanced Critical Care Team PLLC

Internal Medicine, Critical Care Medicine · Mount Clemens, MI

NPI number1609519404
StatusActive
Last updated in NPPESMar 10, 2025

Details

NPI
1609519404
Entity type
Organization (NPI-2)
Legal business name
Advanced Critical Care Team PLLC
Organization subpart
No
Enumeration date
Apr 19, 2022
Certification date
Mar 10, 2025
Last updated
Mar 10, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RC0200X Internal Medicine, Critical Care Medicine––Yes

Practice location

215 North Ave
Mount Clemens, MI 48043-1716

Phone 586-871-2155 · Fax 586-204-0169

Mailing address

215 North Ave
Mount Clemens, MI 48043-1716

Phone 586-871-2155

Authorized official

Andrew Staricco
Ceo
5868712155

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