Individual
KRIS A. STEGMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
431 MUNSON AVE, TRAVERSE CITY, MI 49686-3060
(231) 947-4141
(231) 947-4528
Mailing address
2757 RIDGE TRAIL DR, TRAVERSE CITY, MI 49684-7579
(231) 941-1103
(231) 947-4528
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2901016037
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4249584
—
MI
05
—
4249593
—
MI
Enumeration date
05/27/2006
Last updated
07/09/2007
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