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Individual

JOHN F STALLWOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
15855 19 MILE RD, CLINTON TWP, MI 48038-3504
(586) 263-2370
Mailing address
15855 19 MILE RD, CLINTON TWP, MI 48038-3504
(586) 263-2370

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704244466
MI

Other

Enumeration date
01/29/2008
Last updated
01/29/2008
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