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1427026483
RONALD STAVALE
ROYAL OAK, MI
NPI
1427026483
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601001510)
Enumeration Date
2006-03-08
Last Update Date
2007-09-11
Business Address
-- RONALD STAVALE
3601 W 13 MILE RD
ROYAL OAK, MI 48073-6712
Phone number: 248-898-5000
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Mailing Address
-- RONALD STAVALE
3601 W 13 MILE RD 400-FSC/PCS
ROYAL OAK, MI 48073-6712
Phone number:
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