Individual
STEPHEN E FEINBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1500 EAST MEDICAL CENTER DR, MED INN ROOM C233A, ANN ARBOR, MI 48109-5831
(734) 763-5963
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2901015710
MI
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2901015710
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2997910
—
MI
Enumeration date
09/20/2006
Last updated
04/04/2014
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