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Individual

MR. STEPHEN MICHAEL TASKO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
SLP

Contact information

Practice address
1000 OAKLAND DR FL 3, KALAMAZOO, MI 49008-1282
(269) 387-7004
(269) 387-7026
Mailing address
1000 OAKLAND DR FL 3, KALAMAZOO, MI 49008-1282
(269) 387-7004
(269) 387-7026

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
01140633
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
40 4702665
MI
01
46-31868
UNITED HEALTHCARE INSURANCE
MI
Enumeration date
01/19/2010
Last updated
01/19/2010
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