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Individual
MICHAEL EDWIN STOLL
Active
Individual
MICHAEL EDWIN STOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601006768
MI
363AM0700X
Medical Physician Assistant
5601006768
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12621357
CAQH
MI
Enumeration date
09/29/2013
Last updated
06/01/2026
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