Individual
KA I IP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 E WASHINGTON ST, STE 100, ANN ARBOR, MI 48104-2057
(734) 764-3471
Mailing address
500 E WASHINGTON ST, STE 100, ANN ARBOR, MI 48104-2057
(734) 764-3471
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/31/2015
Last updated
08/31/2015
About Stedi
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