| NPI | 1366741498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRIS A. STEGMANN Owner 231-947-4141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MI 2901016037) |
| Enumeration Date | 2011-03-15 |
| Last Update Date | 2022-11-25 |