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Individual

ANTHONY LAMAR STUBBS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
36 PAGE ST NE, GRAND RAPIDS, MI 49505-4931
(616) 389-4554
Mailing address
36 PAGE ST NE, GRAND RAPIDS, MI 49505-4931
(616) 389-4554

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
L2615
MI

Other

Enumeration date
09/11/2014
Last updated
10/06/2014
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