Individual
MICHAEL STOLPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
501 S BURMA AVE, GILLETTE, WY 82716-3426
(307) 688-1415
(307) 688-1420
Mailing address
501 S BURMA AVE, GILLETTE, WY 82716-3426
(307) 688-1415
(307) 688-1420
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
6059A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113211300
—
WY
Enumeration date
05/16/2006
Last updated
06/01/2011
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