Individual
STEPHEN CHRISTIAN DALM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5060 CASCADE RD SE, STE C, GRAND RAPIDS, MI 49546-3808
(616) 247-1700
(616) 247-3679
Mailing address
5060 CASCADE RD SE, STE C, GRAND RAPIDS, MI 49546-3808
(616) 247-1700
(616) 247-3679
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
008560
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
160D110280
BCBS
MI
05
—
2739380
—
MI
Enumeration date
09/25/2006
Last updated
09/13/2012
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