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Individual

KRISTIE LEE STENLUND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
2530 1ST AVE N, ESCANABA, MI 49829-1390
(906) 789-3198
(906) 789-3679
Mailing address
2530 1ST AVE N, ESCANABA, MI 49829-1390
(906) 789-3198
(906) 789-3679

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
123429-30
WI
163W00000X
Registered Nurse
4704219724
MI
363L00000X
Nurse Practitioner
Primary
4704219724
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0871741
BCBSMI PIN
MI
Enumeration date
07/01/2011
Last updated
01/20/2012
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