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Organization
ROBERT B. STEWART, DDS, MS, PC
Active
Organization
ROBERT B. STEWART, DDS, MS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT BRUCE STEWART DDS, MS (PRESIDENT)
(313) 882-8711
Entity
Organization
Contact information
Practice address
19635 MACK AVE, GROSSE POINTE WOODS, MI 48236-2535
(313) 882-8711
Mailing address
19635 MACK AVE, GROSSE POINTE WOODS, MI 48236-2535
(313) 882-8711
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
2901014751
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1285770057
PERSONAL NPI
MI
01
—
ON19830
MEDICARE PROVIDER NUMBER
MI
Enumeration date
03/27/2009
Last updated
03/27/2009
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