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Individual

ANDREW WILLIAM STOLL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MA, AT, ATC

Contact information

Practice address
5101 JOHN C. LODGE, 101 MATTHAEI, DETROIT, MI 48202
(313) 577-1008
Mailing address
4429 CROOKS RD, ROYAL OAK, MI 48073-1754
(989) 305-1346

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601001077
MI

Other

Enumeration date
10/16/2015
Last updated
10/16/2015
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