Individual
STETSON ALBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
13450 E 12 MILE RD, WARREN, MI 48088-3671
(586) 759-5525
(586) 759-4022
Mailing address
13450 E 12 MILE RD, WARREN, MI 48088-3671
(586) 759-5525
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
5101024479
MI
390200000X
Student in an Organized Health Care Education/Training Program
5101023631
MI
390200000X
Student in an Organized Health Care Education/Training Program
5151010686
MI
Other
Enumeration date
07/05/2017
Last updated
06/08/2021
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