Organization
KRIS A. STEGMANN, D.D.S., P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRIS A. STEGMANN D.D.S. (OWNER)
(231) 947-4141
Entity
Organization
Contact information
Practice address
540 S. GARFIELD AVE, TRAVERSE CITY, MI 49686
(231) 947-4141
(231) 947-4528
Mailing address
540 S. GARFIELD AVE, TRAVERSE CITY, MI 49686
(231) 947-4141
(231) 947-4528
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2901016037
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4249584
—
MI
05
—
4249593
—
MI
Enumeration date
03/15/2011
Last updated
11/25/2022
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