| Dr Stanley Weir Gresham, DDS | |
|
220 S Suffolk St, Ironwood, MI 49938-2128 | |
| (906) 932-2730 | |
| (906) 932-5832 |
| Full Name | Dr Stanley Weir Gresham |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 220 S Suffolk St, Ironwood, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528130820 | NPI | - | NPPES |
| 124042930 | Medicaid | MI | |
| 33401100 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2901011051 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Stanley Weir Gresham, DDS 212 E Aurora St, Ironwood, MI 49938-2112 Ph: (906) 932-2730 | Dr Stanley Weir Gresham, DDS 220 S Suffolk St, Ironwood, MI 49938-2128 Ph: (906) 932-2730 |
Dr. Gary L Champion, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: N10236 Lake Rd, Ironwood, MI 49938 Phone: 906-932-5574 | |
Dr. Thomas W. Herfort, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 204 Harrison St, Ironwood, MI 49938 Phone: 906-932-1332 Fax: 906-932-4337 |