Individual
WILLIAM G STAHL III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1414 W FAIR AVE, SUITE 247, MARQUETTE, MI 49855-2675
(906) 225-3880
(906) 225-4523
Mailing address
1414 W FAIR AVE, SUITE 247, MARQUETTE, MI 49855-2675
(906) 225-3880
(906) 225-4523
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301082866
MI
207RG0100X
Gastroenterology Physician
Primary
4301082866
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0521096
BLUE CROSS BLUE SHIELD MI
MI
05
—
4994550
—
MI
Enumeration date
05/16/2006
Last updated
01/28/2013
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