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NPI Code Detail

MEDICARE: MRS. KATHLEEN CLAIRE STENLUND DO

MEDICARE: MRS. KATHLEEN CLAIRE STENLUND DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1204D00000XNeuromusculoskeletal Medicine & OMM Physician5101026952MI

General Provider Information

NPI Number : 1740803121
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KATHLEEN CLAIRE STENLUND DO
Provider Business Mailing Address
First Line : 3987 WHITE PINE DR
Second Line :
City : DEWITT
State : MI
Zip : 48820-9263
Country : US
Telephone Number : 720-327-7119
Fax Number :
Provider Business Practice Location Address
First Line : 330 W LAKE LANSING RD
Second Line :
City : EAST LANSING
State : MI
Zip : 48823-8527
Country : US
Telephone Number : 517-798-4878
Fax Number : 517-225-0490
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2020
Last Update Date : 07/21/2025

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Directions to “ MRS. KATHLEEN CLAIRE STENLUND DO” Practice Location

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