| Berard & Stefanski Dentistry Partnership | |
|
812 Cypress St Manistee MI 49660 | |
| (231) 723-6512 | |
| (231) 723-0000 |
| Full Name | Berard & Stefanski Dentistry Partnership |
|---|---|
| Speciality | Dentist |
| Location | 812 Cypress St, Manistee, Michigan |
| Authorized Official Name and Position | Julie Kay Stefanski (DENTIST) |
| Authorized Official Contact | 2317236512 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Berard & Stefanski Dentistry Partnership 812 Cypress St Manistee MI 49660 Ph: (231) 723-6512 | Berard & Stefanski Dentistry Partnership 812 Cypress St Manistee MI 49660 Ph: (231) 723-6512 |
| NPI Number | 1104961853 |
|---|---|
| Provider Enumeration Date | 02/20/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104961853 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 18268 (Michigan) | Secondary |
| 122300000X | Dentist | 18539 (Indiana) | Secondary |
| 122300000X | Dentist | 11462 (Michigan) | Primary |
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Blythe A O'donnell, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 812 Cypress St, Manistee, MI 49660 Phone: 231-723-6512 Fax: 231-723-0000 | |
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