Individual
MR. JOHN MICHAEL STEPISNIK JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11103 SW LANCEFIELD RD, MCMINNVILLE, OR 97128-8621
(971) 241-9891
Mailing address
PO BOX 865, AMITY, OR 97101-0865
(971) 241-9891
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
—
Other
Enumeration date
09/15/2018
Last updated
09/15/2018
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