Stephen Gregory Weatherly, DDS

NPI #1306877550 in Marshall, Michigan

Provider Information

NPI Number
1306877550
Entity Type
Individual
Name
Stephen Gregory Weatherly, DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist
Credential
DDS
Enumeration Date
Jul 5, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
111 NORTH JEFFERSON STREET
Address 2
SUITE 4
ZIP Code
49068-1553
Phone
(269) 781-7531

Specialties & Taxonomy Codes

Specialty
Dentist

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