Individual
DEBORAH STOLTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1485 M 139, BENTON HARBOR, MI 49022-5711
(269) 934-1675
Mailing address
5640 DONALD ST, STEVENSVILLE, MI 49127-9578
(269) 428-7126
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
4704185151
MI
Other
Enumeration date
02/15/2018
Last updated
02/15/2018
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