Individual
Inactive
Sole proprietor
Provider details
NPI number
Contact information
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901016075
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2901016075
STATE LICENSE
MI
Enumeration date
—
Last updated
—
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Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
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