DR. EDWARD THOMAS STERN M.D.

Allergy and Immunology

Grand Rapids, Michigan

Provider NPI: 1609870526

Provider Information:
DR. EDWARD THOMAS STERN M.D.


Practice Location:
2120 43RD ST SE STE 700 GRAND RAPIDS, MI 49508 US
Tel: 616-455-6700  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

Primary	Code	Category/Description	State	License Number
Y	207K00000X	Physicians Allergy & Immunology	MI	4301039905

Other Provider Identifiers:

Issuer	Number	State	Type
	2121032	MI	05

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin

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