Individual
STEVEN R EERNISSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C
Contact information
Practice address
1009 W GREEN ST, HASTINGS, MI 49058-1710
(269) 945-3451
(269) 945-3609
Mailing address
1009 W GREEN ST, HASTINGS, MI 49058-1710
(269) 945-3451
(269) 945-3609
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MI56001738
MI
Other
Enumeration date
11/15/2006
Last updated
07/08/2007
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