Provider Demographics
NPI:1114987047
Name:STENDER, MICHAEL J (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:J
Last Name:STENDER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3577 W 13 MILE RD
Mailing Address - Street 2:STE 404
Mailing Address - City:ROYAL OAK
Mailing Address - State:MI
Mailing Address - Zip Code:48073-6710
Mailing Address - Country:US
Mailing Address - Phone:248-551-6991
Mailing Address - Fax:248-551-6910
Practice Address - Street 1:3577 W 13 MILE RD
Practice Address - Street 2:SUITE 404
Practice Address - City:ROYAL OAK
Practice Address - State:MI
Practice Address - Zip Code:48073-6710
Practice Address - Country:US
Practice Address - Phone:248-551-6900
Practice Address - Fax:248-551-6909
Is Sole Proprietor?:No
Enumeration Date:2006-03-24
Last Update Date:2020-10-23
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Provider Licenses
StateLicense IDTaxonomies
MI4301072617207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI104454137Medicaid
MI0F37131009Medicare ID - Type Unspecified
MIF60165Medicare UPIN