MEDICARE: ROBERT M STENZ DO PC

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
1	208600000X	Surgery Physician	5101008436	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0284430515	OTHER	MI	HEALTHPLUS OF MI
2	5443051	OTHER	MI	BCBSM
3	5443051	OTHER	MI	BLUE CARE NETWORK
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	4132974	OTHER	MI	AETNA PPO
6	C1539	OTHER	MI	MCARE

General Provider Information

NPI Number	:	1851413900
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROBERT M STENZ DO PC

Provider Business Mailing Address
First Line	:	3273 DAVISON ROAD
Second Line	:	SUITE 4
City	:	LAPEER
State	:	MI
Zip	:	48446
Country	:	US
Telephone Number	:	810-667-5150
Fax Number	:	810-667-6334

Provider Business Practice Location Address
First Line	:	3273 DAVISON RD
Second Line	:	SUITE 4
City	:	LAPEER
State	:	MI
Zip	:	48446-2902
Country	:	US
Telephone Number	:	810-667-5150
Fax Number	:	810-667-6334

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ROBERT M STENZ
Credential	:	D.O.
Telephone Number	:	810-667-5150

Provider Enumeration Date	:	04/06/2007
Last Update Date	:	04/20/2008

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