ADVANCED CRITICAL CARE TEAM PLLC NPI 1609519404

NPI Information

  • NPI: 1609519404
  • Provider Name: ADVANCED CRITICAL CARE TEAM PLLC
  • Classification: Internal Medicine - 207RC0200X
  • Specialization: Critical Care Medicine
  • Entity Type: Organization
  • Address: 215 NORTH AVE
    MOUNT CLEMENS, MI
    ZIP 48043
  • Phone: (586) 871-2155

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NPI Details

ADVANCED CRITICAL CARE TEAM PLLC is a critical care medicine internal medicine in Mount Clemens, MI. The provider is an internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. ADVANCED CRITICAL CARE TEAM PLLC NPI is 1609519404. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

215 NORTH AVE
MOUNT CLEMENS, MI
ZIP 48043-716
Phone: (586) 871-2155
Fax: (586) 204-0169

The provider's authorized official is Andrew Staricco .
The authorized official title is Ceo and has the following contact phone number (586) 871-2155.

The enumeration date for this NPI number is 4/19/2022 and was last updated on 3/10/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RC0200XInternal MedicineCritical Care MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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