Stanley W. Gresham Dds | |
212 E Aurora St Ironwood MI 49938-2112 | |
(906) 932-2730 | |
(906) 932-5832 |
Full Name | Stanley W. Gresham Dds |
---|---|
Speciality | Dentist - General Practice |
Location | 212 E Aurora St, Ironwood, Michigan |
Authorized Official Name and Position | Stanley W Gresham (OWNER) |
Authorized Official Contact | 9069322730 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Stanley W. Gresham Dds 212 E Aurora St Ironwood MI 49938-2112 Ph: (906) 932-2730 | Stanley W. Gresham Dds 212 E Aurora St Ironwood MI 49938-2112 Ph: (906) 932-2730 |
NPI Number | 1992449854 |
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Provider Enumeration Date | 04/26/2022 |
Last Update Date | 05/24/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992449854 | NPI | - | NPPES |
33401100 | Medicaid | WI | |
1528130820 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Op Orthodontics Of Minnesota Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 250 Roosevelt St, Ironwood, MI 49938 Phone: 218-460-5417 | |
Thomas W Herfort Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 204 N Harrison St, Woodlands Professional Building, Ironwood, MI 49938 Phone: 906-932-1332 Fax: 906-932-4337 |