Stotland, Mitchell

Stotland, Mitchell is an sole proprietor health care provider with primary practice located at 2885 Sanford Ave Sw Unit 46566, Grandville MI 49418-1342. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Occupational Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Stotland, Mitchell can be contacted via phone (616) 730-1838.

Contact Information

Primary practice address
2885 Sanford Ave Sw Unit 46566 Grandville MI 49418-1342
Phone: (616) 730-1838
Fax: (800) 988-9999
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X 01078523A Indiana
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / General Practice 208D00000X 28795 West Virginia

Profile Details

NPI number 1245612969
LBN Legal business name Stotland, Mitchell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 19th, 2015
Last updated Jun 25th, 2020 - about 5 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 1245612969 NPPES
North Carolina Other 252874 NC
North Carolina Other 38550 NC
North Carolina Other 83897 NC
North Carolina Other 59141 NC
North Carolina Other ME141497 NC

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