Individual
BRYAN T STUMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1642 US 131 SOUTH, PETOSKEY, MI 49770
(231) 347-4662
(231) 347-0679
Mailing address
1642 US 131 SOUTH, PETOSKEY, MI 49770
(231) 347-4662
(231) 347-0679
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
L967161
MI
Other
Enumeration date
02/15/2007
Last updated
07/08/2007
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