Individual
DONALD LEROY STAGEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
926 S WASHINGTON AVE, BLDG D STE 230, HOLLAND, MI 49423-7725
(616) 396-3544
(616) 396-3548
Mailing address
926 S WASHINGTON AVE, BLDG D STE 230, HOLLAND, MI 49423-7725
(616) 396-3544
(616) 396-3548
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
4301039644
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4829459
—
MI
Enumeration date
07/07/2005
Last updated
09/17/2010
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