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Individual

MICHAEL J STECH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
708 N 18TH ST, MARYSVILLE, KS 66508-1338
(785) 562-2311
(785) 562-2348
Mailing address
1017 BROADWAY, MARYSVILLE, KS 66508-1843
(785) 562-3609

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
54096
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
015279
BC/BS KS
KS
01
649580
FIRST GUARD
KS
Enumeration date
07/20/2006
Last updated
07/08/2007
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