Individual
DR. STEPHEN RODERICK GUERTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1215 E MICHIGAN AVE, LANSING, MI 48912-1811
(517) 364-2117
(517) 364-3994
Mailing address
PO BOX 373, OKEMOS, MI 48805-0373
(517) 364-2117
(517) 364-3994
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
45162
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2121919
—
MI
Enumeration date
09/21/2006
Last updated
07/08/2007
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