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Individual

MR. STEVEN MICHAEL GENTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN. MS. CS.

Contact information

Practice address
2215 FULLER RD., ANN ARBOR, MI 48105
(734) 845-3041
(734) 222-7648
Mailing address
4122 SYLVAN RD., GRASS LAKE, MI 49240
(734) 769-7100
(734) 769-7416

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
4704170054
MI
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
4704170054
MI

Other

Enumeration date
10/02/2006
Last updated
12/15/2016
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