Dr Stanley Weir Gresham, DDS | |
220 S Suffolk St, Ironwood, MI 49938-2128 | |
(906) 932-2730 | |
(906) 932-5832 |
Full Name | Dr Stanley Weir Gresham |
---|---|
Gender | Male |
Speciality | Dentist - General Practice |
Location | 220 S Suffolk St, Ironwood, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528130820 | NPI | - | NPPES |
124042930 | Medicaid | MI | |
33401100 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 2901011051 (Michigan) | Primary |
Mailing Address | Practice Location Address |
---|---|
Dr Stanley Weir Gresham, DDS 212 E Aurora St, Ironwood, MI 49938-2112 Ph: (906) 932-2730 | Dr Stanley Weir Gresham, DDS 220 S Suffolk St, Ironwood, MI 49938-2128 Ph: (906) 932-2730 |
Dr. Gary L Champion, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: N10236 Lake Rd, Ironwood, MI 49938 Phone: 906-932-5574 | |
Dr. Thomas W. Herfort, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 204 Harrison St, Ironwood, MI 49938 Phone: 906-932-1332 Fax: 906-932-4337 |