Provider Demographics
NPI:1851413900
Name:ROBERT M STENZ DO PC
Entity Type:Organization
Organization Name:ROBERT M STENZ DO PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:M
Authorized Official - Last Name:STENZ
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:810-667-5150
Mailing Address - Street 1:3273 DAVISON ROAD
Mailing Address - Street 2:SUITE 4
Mailing Address - City:LAPEER
Mailing Address - State:MI
Mailing Address - Zip Code:48446
Mailing Address - Country:US
Mailing Address - Phone:810-667-5150
Mailing Address - Fax:810-667-6334
Practice Address - Street 1:3273 DAVISON RD
Practice Address - Street 2:SUITE 4
Practice Address - City:LAPEER
Practice Address - State:MI
Practice Address - Zip Code:48446-2902
Practice Address - Country:US
Practice Address - Phone:810-667-5150
Practice Address - Fax:810-667-6334
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-06
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101008436208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0284430515OtherHEALTHPLUS OF MI
MI5443051OtherBCBSM
MI5443051OtherBLUE CARE NETWORK
MI4096574Medicaid
MI4132974OtherAETNA PPO
MIC1539OtherMCARE
MI5443051OtherBCBSM
MI4096574Medicaid