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Mrs. Mary Bruce Stallard, NP
Family Nurse Practitioner in Birmingham, Michigan
NPI 1376081737

Mary Bruce Stallard is a Family Nurse Practitioner based in Birmingham, MI and is specialized in Family. Mary Bruce Stallard practices in Birmingham, MI and has the professional credentials of NP. The NPI Number for Mary Bruce Stallard is 1376081737 and holds a License No. 4704298881 (Michigan).

The current practice location address for Mary Bruce Stallard is 1027 Clark St, Birmingham, MI and can be reached out via phone at 704-880-4054.

Location: 1027 Clark St, Birmingham, MI, 48009-3630
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376081737
Provider Name
Mary Bruce Stallard
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
1027 Clark St, Birmingham, MI, 48009-3630
Phone Number
704-880-4054
Fax Number
Provider Enumeration Date
02/06/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1027 Clark St
City
Birmingham
State
Michigan
Zip
48009-3630
Phone Number
704-880-4054
Fax Number
person
Provider Business Mailing Address Details
Address
1027 Clark St
City
Birmingham
State
Michigan
Zip
48009-3630
Phone Number
704-880-4054
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
4704298881 (Michigan)
Definition
Definition to come...
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