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General NPI Number Information
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NPI Number | 1477525616
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Entity Type | Organization
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Legal Business Name | STEPHEN W. STURMAN MD PC
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Dates
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Enumeration Date | 02/02/2006
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Last Update Date | 10/19/2007
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Provider Practice Location Address
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Address Line | 44000 W 12 MILE RD SUITE 210
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City | NOVI
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State | MI
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Zip | 48377
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Country | US
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Telephone | 248-347-8294
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Fax |
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Provider Business Mailing Address
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Address Line | 44000 W. 12 MILE ROAD SUITE 210
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City | NOVI
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State | MI
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Zip | 48377
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Country | US
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Telephone | 248-347-8294
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Fax | 248-347-8262
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Authorized Official
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Title or Position | OWNER
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Name | STEPHEN STURMAN
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Credential | M.D.
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Telephone | 734-266-2780
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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