Organization
BOARDMAN HEALTH AND WELLNESS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS KEANE STETLER PA-C (OFFICER)
(231) 369-2656
Entity
Organization
Contact information
Practice address
4713 PINE ST SW, S BOARDMAN, MI 49680-9761
(231) 369-2656
Mailing address
4713 PINE ST SW, S BOARDMAN, MI 49680-9761
(231) 369-2656
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4301069428
MI
363A00000X
Physician Assistant
Primary
5601003799
MI
Other
Enumeration date
06/09/2006
Last updated
09/11/2025
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