Individual
MRS. HOLLY BARBARA STAP-GREGORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1479 W DOWLING RD, DOWLING, MI 49050-9718
(616) 498-8001
Mailing address
1450 W M 43 HWY, HASTINGS, MI 49058-7681
(269) 945-2203
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
7501000390
MI
Other
Enumeration date
05/06/2013
Last updated
05/06/2013
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