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General NPI Number Information
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NPI Number | 1609960863
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Entity Type | Organization
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Legal Business Name | MARK E STEMPIHAR, M.D., P.C.
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | E6112 E BLUFFVIEW RD SUITE 102
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City | IRONWOOD
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State | MI
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Zip | 49938-9367
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Country | US
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Telephone | 906-932-1436
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Fax |
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Provider Business Mailing Address
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Address Line | E6112 E BLUFFVIEW RD SUITE 102
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City | IRONWOOD
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State | MI
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Zip | 49938-9367
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Country | US
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Telephone | 906-932-1436
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Fax |
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Authorized Official
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Title or Position | BUSINESS ADMINISTRATOR
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Name | MRS. PAMELA BRETALL
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Credential |
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Telephone | 906-932-1436
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 4901004267
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 4901003062
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License Number State | MI
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