Organization
D L STAGEMAN MD PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD L STAGEMAN MD (OWNER)
(616) 396-3544
Entity
Organization
Contact information
Practice address
926 WASHINGTON AVE, BLD D STE 230, HOLLAND, MI 49423-7725
(616) 396-3544
(616) 396-3548
Mailing address
926 WASHINGTON AVE, BLD D STE 230, HOLLAND, MI 49423-7725
(616) 396-3544
(616) 396-3548
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
4301039644
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427056118
—
MI
Enumeration date
08/26/2010
Last updated
08/26/2010
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