Individual
IAN NICHOLS STEWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N.P.
Contact information
Practice address
117 W PATERSON ST, KALAMAZOO, MI 49007-2557
(269) 349-2641
(269) 488-0806
Mailing address
117 W PATERSON ST, KALAMAZOO, MI 49007-2557
(269) 349-2641
(269) 488-0806
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704225561
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4841918-10
—
MI
Enumeration date
02/23/2006
Last updated
07/30/2012
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