Individual
MR. ERIC ROBERT STUART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1816 CHESTNUT ST, CADILLAC, MI 49601-9240
(269) 743-8743
Mailing address
1816 CHESTNUT ST, CADILLAC, MI 49601-9240
(269) 743-8743
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
S363234745927
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
83-2802350
—
MI
Enumeration date
04/12/2019
Last updated
04/12/2019
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