Individual
DR. STEVEN LEE TOLLEFSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
HC 3 BOX 897, LANSE, MI 49946-9538
(906) 524-6960
(906) 524-6960
Mailing address
HC 3 BOX 897, LANSE, MI 49946-9538
(906) 524-6960
(906) 524-6960
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
014154
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014154
STATE LICENSE NUMBER
MI
05
—
1768046
—
MI
Enumeration date
07/06/2006
Last updated
07/09/2007
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