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Individual

GREGG J STEFANEK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1910 PINE AVE, ALMA, MI 48801-1298
(989) 463-3101
(989) 463-2824
Mailing address
1447 N HARRISON ST, SAGINAW, MI 48602-4727
(989) 583-2833
(989) 583-1440

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301011417
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1619913472
MI
05
2772212
MI
Enumeration date
06/21/2006
Last updated
06/13/2014
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