Individual
MRS. KENDALL ANN STORTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5748 LAKEVIEW BLVD, GOODRICH, MI 48438-9642
(248) 709-5391
Mailing address
5748 LAKEVIEW BLVD, GOODRICH, MI 48438-9642
(248) 709-5391
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
08/15/2016
Last updated
08/15/2016
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