Individual
ISAAC WATSON STEPHENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1115 3RD ST, MUSKEGON, MI 49441-2170
(231) 215-8649
Mailing address
2968 PONTALUNA RD, FRUITPORT, MI 49415-9685
(231) 215-8649
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
07/29/2020
Last updated
07/29/2020
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