Provider Demographics
NPI:1548373301
Name:STONE, EDWIN STERLING II (MD)
Entity type:Individual
Prefix:DR
First Name:EDWIN
Middle Name:STERLING
Last Name:STONE
Suffix:II
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 1:27177 LAHSER RD STE 100
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48034-8467
Mailing Address - Country:US
Mailing Address - Phone:248-440-2250
Mailing Address - Fax:248-440-2253
Practice Address - Street 1:27177 LAHSER RD STE 100
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48034-8467
Practice Address - Country:US
Practice Address - Phone:248-440-2250
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-16
Last Update Date:2018-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301061154207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine