Individual
MICHAEL P STEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
18 W WYOMING AVE APT 12, MELROSE, MA 02176-4656
(617) 797-8803
Mailing address
18W WYOMING AVE APT 12, MELROR E, MA 02176
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
S55651656
MA
174400000X
Specialist
Primary
S55651656
MA
174400000X
Specialist
—
—
Other
Enumeration date
09/26/2012
Last updated
09/26/2012
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