Provider Demographics
NPI:1366592768
Name:STURLA, CESAR ARISTIDES (MD)
Entity type:Individual
Prefix:DR
First Name:CESAR
Middle Name:ARISTIDES
Last Name:STURLA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22635 MOORGATE ST
Mailing Address - Street 2:
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48374-3770
Mailing Address - Country:US
Mailing Address - Phone:248-888-0992
Mailing Address - Fax:248-349-4622
Practice Address - Street 1:33730 FREEDOM RD STE C
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:MI
Practice Address - Zip Code:48335-4718
Practice Address - Country:US
Practice Address - Phone:248-888-0992
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-10
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MICS055462207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIE42826Medicare UPIN
MI0827168Medicare ID - Type Unspecified