Kris A. Stegmann, D.d.s., P.l.l.c. | |
540 S. Garfield Ave Traverse City MI 49686 | |
(231) 947-4141 | |
(231) 947-4528 |
Full Name | Kris A. Stegmann, D.d.s., P.l.l.c. |
---|---|
Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 540 S. Garfield Ave, Traverse City, Michigan |
Authorized Official Name and Position | Kris A. Stegmann (OWNER) |
Authorized Official Contact | 2319474141 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Kris A. Stegmann, D.d.s., P.l.l.c. 540 S. Garfield Ave Traverse City MI 49686 Ph: (231) 947-4141 | Kris A. Stegmann, D.d.s., P.l.l.c. 540 S. Garfield Ave Traverse City MI 49686 Ph: (231) 947-4141 |
NPI Number | 1366741498 |
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Provider Enumeration Date | 03/15/2011 |
Last Update Date | 11/25/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366741498 | NPI | - | NPPES |
4249584 | Medicaid | MI | |
4249593 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 2901016037 (Michigan) | Primary |
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