Individual
DR. STEPHEN GIRARD ELDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
19959 VAN DYKE ST, DETROIT, MI 48234-3211
(313) 366-8790
(313) 366-8786
Mailing address
19959 VAN DYKE ST, DETROIT, MI 48234-3211
(313) 366-8790
(313) 366-8786
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901013050
MI
Other
Enumeration date
10/23/2006
Last updated
07/08/2007
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