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Contact Information

ANDREW W STOLL, MA, AT, ATC
5101 JOHN C. LODGE
101 MATTHAEI
DETROIT, MI48202
 Phone: 313-577-1008
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for ANDREW W STOLL · (Male)

NPI # 1396116315
Status Active
Credentials MA, AT, ATC
Entity Individual
Enumeration date 10/16/2015
Last updated 10/16/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 2601001077
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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