Individual
STEPHANIE LEE DILLWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1900 COLUMBUS AVE, BAY CITY, MI 48708-6831
(989) 894-3000
Mailing address
20059 SEMINOLE, REDFORD, MI 48240-1629
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
4704330426
MI
Other
Enumeration date
04/26/2022
Last updated
04/26/2022
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