Guertin, Stephen Roderick

Guertin, Stephen Roderick is an sole proprietor health care provider with primary practice located at 1215 E Michigan Ave , Lansing MI 48912-1811. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, which is considered as his primary health care specialty. Guertin, Stephen Roderick can be contacted via phone (517) 364-2117.

Contact Information

Primary practice address
1215 E Michigan Ave Lansing MI 48912-1811
Phone: (517) 364-2117
Fax: (517) 364-3994
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 45162 Michigan

Profile Details

NPI number 1902905862
LBN Legal business name Guertin, Stephen Roderick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 21st, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902905862 NPPES
Michigan MEDICAID 2121919

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