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Mitchell Stotland, MD
General Practice Physician in Grandville, Michigan
NPI 1245612969

Mitchell Stotland is a General Practice Physician based in Grandville, MI. Mitchell Stotland practices in Grandville, MI and has the professional credentials of MD. The NPI Number for Mitchell Stotland is 1245612969 and holds a License No. 01078523A (Michigan).

The current practice location address for Mitchell Stotland is 2885 Sanford Ave Sw, Grandville, MI and can be reached out via phone at 616-730-1838 and via fax at 800-988-9999.

Location: 2885 Sanford Ave Sw, Grandville, MI, 49418-1342
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245612969
Provider Name
Mitchell Stotland
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2885 Sanford Ave Sw, Grandville, MI, 49418-1342
Phone Number
616-730-1838
Fax Number
800-988-9999
Provider Enumeration Date
06/19/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
252874 01 NC NC
38550 01 AL LICENSE
83897 01 GA GEORGIA
59141 01 AZ LICENSE
ME141497 01 FL FLORIDA
institution
Provider Business Practice Location Address Details
Address
2885 Sanford Ave Sw
City
Grandville
State
Michigan
Zip
49418-1342
Phone Number
616-730-1838
Fax Number
800-988-9999
person
Provider Business Mailing Address Details
Address
2885 Sanford Ave Sw
City
Grandville
State
Michigan
Zip
49418-1342
Phone Number
616-730-1838
Fax Number
800-988-9999
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Preventive Medicine
Speciality
Occupational Medicine
Taxonomy
2083X0100X
License No.
28795 (West Virginia)
Definition
Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
01078523A (Indiana)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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