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NPI Code Detail

MEDICARE: GREGORY STEMPKY DO

MEDICARE: GREGORY STEMPKY 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
1207Q00000XFamily Medicine Physician5101013060MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1639123557
Entity Type Code : Individual
Provider Name (Legal Business Name) : GREGORY STEMPKY DO
Provider Business Mailing Address
First Line : PO BOX 1848
Second Line :
City : MUSKEGON
State : MI
Zip : 49443-1848
Country : US
Telephone Number : 231-727-4444
Fax Number : 231-728-4789
Provider Business Practice Location Address
First Line : 601 W SAVIDGE ST
Second Line :
City : SPRING LAKE
State : MI
Zip : 49456-1620
Country : US
Telephone Number : 231-672-3100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/22/2006
Last Update Date : 04/11/2018

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