Individual
DR. JEFFREY STUART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1101 W UNIVERSITY DR, ROCHESTER, MI 48307-1863
(248) 652-5311
Mailing address
1101 W UNIVERSITY DR, ROCHESTER, MI 48307-1863
(248) 652-5311
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
5101011664
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11289883
CAQH
MI
05
—
114275412
—
MI
01
—
JS011664
BC/BS
MI
Enumeration date
06/09/2006
Last updated
12/12/2013
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