Individual
DR. JEFFREY STUTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
18211 W 12 MILE RD STE 3, LATHRUP VILLAGE, MI 48076-2643
(248) 569-7447
Mailing address
18211 W 12 MILE RD STE 3, LATHRUP VILLAGE, MI 48076-2643
(248) 569-7447
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
16570
MI
Other
Enumeration date
07/27/2006
Last updated
07/08/2007
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