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Individual
MR. PAUL RICHARD STERN
Active
Individual
MR. PAUL RICHARD STERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901018859
MI
1223G0001X
General Practice Dentistry
901018859
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
846910
UNITED CONCORDIA
MI
01
—
D801041
BCBS OF MI
MI
Enumeration date
07/20/2006
Last updated
09/15/2008
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