Stageman, Donald Leroy

Stageman, Donald Leroy is an sole proprietor health care provider with primary practice located at 926 S Washington Ave Bldg D Ste 230, Holland MI 49423-7725. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Stageman, Donald Leroy can be contacted via phone (616) 396-3544.

Contact Information

Primary practice address
926 S Washington Ave Bldg D Ste 230 Holland MI 49423-7725
Phone: (616) 396-3544
Fax: (616) 396-3548
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 4301039644 Michigan

Profile Details

NPI number 1427056118
LBN Legal business name Stageman, Donald Leroy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 7th, 2005
Last updated Sep 17th, 2010 - about 14 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 1427056118 NPPES
Michigan MEDICAID 4829459

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