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Individual

JOSEPH STEPULLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
22101 MOROSS RD, DETROIT, MI 48236-2148
(313) 343-4370
(313) 434-6862
Mailing address
22101 MOROSS RD, DETROIT, MI 48236-2148
(313) 343-4370
(313) 434-6862

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704264397
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
4704264397
MI

Other

Enumeration date
08/18/2015
Last updated
06/09/2017
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