institution
Stacey Stefansky Dpm Pllc
Podiatric Clinic/Center in Waterford, Michigan
NPI 1194964452

Stacey Stefansky Dpm Pllc is a Podiatric Clinic/Center based in Drayton Plains, MI and is specialized in Podiatric. Stacey Stefansky Dpm Pllc practices in Waterford, MI. The NPI Number for Stacey Stefansky Dpm Pllc is 1194964452 and holds a License No. 5901002115 (Michigan).

The current practice location address for Stacey Stefansky Dpm Pllc is 2130 Marshall Court, Waterford, MI and can be reached out via phone at 248-390-5730.

Location: 2130 Marshall Court, Waterford, MI, 48330-0965
institution
Provider Profile Details
NPI Number
1194964452
Provider Name
Stacey Stefansky Dpm Pllc
Credential
Provider Entity Type
Organization
Address
2130 Marshall Court, Waterford, MI, 48330-0965
Phone Number
248-390-5730
Fax Number
Provider Enumeration Date
02/10/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1053399949 05 MI
4856320100 01 MI BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
2130 Marshall Court
City
State
Zip
48329-4069
Phone Number
248-390-5730
Fax Number
person
Provider Business Mailing Address Details
Address
2130 Marshall Court
City
State
Zip
48329-4069
Phone Number
248-390-5730
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Podiatric
Taxonomy
License No.
5901002115 (Michigan)
Definition
Definition to come...
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