Individual
KEVIN ROLF STURTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MCAP
Contact information
Practice address
816 HURON AVE, PORT HURON, MI 48060-3705
(810) 982-7391
(810) 982-9395
Mailing address
816 HURON AVE, PORT HURON, MI 48060-3705
(810) 982-7391
(810) 982-9395
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
3501000413
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4685985
—
MI
01
—
540G40545
BCBSM HEARING AID DISPENS
MI
Enumeration date
02/22/2007
Last updated
07/09/2007
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