Individual
DR. ETHAN MITCHEL STERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1116 W GANSON ST, JACKSON, MI 49202-4240
(877) 852-8463
Mailing address
1116 W GANSON ST, JACKSON, MI 49202-4240
(877) 852-8463
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
338669
LA
207W00000X
Ophthalmology Physician
EMC0009269
MI
Other
Enumeration date
06/10/2018
Last updated
04/28/2026
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