Organization
ROBERT B. STEWART, DDS, MS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT BRUCE STEWART DDS, MS (PRESIDENT)
(313) 882-8711
Entity
Organization
Contact information
Practice address
19635 MACK AVE, GROSSE POINTE WOODS, MI 48236-2535
(313) 882-8711
Mailing address
19635 MACK AVE, GROSSE POINTE WOODS, MI 48236-2535
(313) 882-8711
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
2901014751
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1285770057
PERSONAL NPI
MI
01
—
ON19830
MEDICARE PROVIDER NUMBER
MI
Enumeration date
03/27/2009
Last updated
03/27/2009
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