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Individual

STEPHEN J ANDRIESE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3988 W ROYAL DR, TRAVERSE CITY, MI 49684-9200
(231) 935-0860
(231) 935-0930
Mailing address
3988 W ROYAL DR, TRAVERSE CITY, MI 49684-9200
(231) 935-0860
(231) 935-0930

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
4301062410
MI

Other

Enumeration date
08/20/2006
Last updated
08/25/2020
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