Individual
DR. KENNETH STUART STOLLER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1755 DIX HWY, LINCOLN PARK, MI 48146-1412
(313) 382-9650
(313) 382-3428
Mailing address
39259 HEATHERBROOK DR, FARMINGTON HILLS, MI 48331-2916
(313) 382-9650
(313) 382-3428
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901002772
MI
Other
Enumeration date
06/12/2006
Last updated
07/08/2007
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