Individual
MR. JOHN STUART TO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1721 S STEPHENSON AVE, IRON MOUNTAIN, MI 49801
(906) 776-5565
Mailing address
1721 S STEPHENSON AVE, IRON MOUNTAIN, MI 49801-3637
(906) 776-5362
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
41696
WI
2085R0202X
Diagnostic Radiology Physician
Primary
4301068165
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3289182
—
MI
Enumeration date
02/14/2006
Last updated
02/15/2024
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