SearchMichigan183500000X

Thomas Stavenger, RPH

NPI 1659697274 · on the registry since 2010 · sole proprietor

Practice

Address
1111 Mildred J Ct
Brighton, MI 48116
Phone
(810) 220-4426

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2010-04-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan