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Individual

DR. MICHAEL IAN STEWART

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
718 LAKEVIEW RD, CLEARWATER, FL 33756
(727) 441-8963
Mailing address
2063 SWAN LN, PALM HARBOR, FL 34683-6274
(727) 785-2722

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN 0010395
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
072202200
FL
Enumeration date
01/30/2007
Last updated
10/25/2010
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