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Organization
GRANDVIEW FOOT AND ANKLE PC
Active
Organization
GRANDVIEW FOOT AND ANKLE PC
Active
Other names
Stacy A Uebele DPM
Organization subpart
No
Provider details
NPI number
Authorized official
STACY AARON UEBELE DPM (PODIATRIST)
(269) 948-9155
Entity
Organization
Contact information
Practice address
231 W PINE LAKE DR, SUITE NUMBER 102, NEWAYGO, MI 49337-8028
(231) 652-5955
(231) 652-5956
Mailing address
PO BOX 362, HASTINGS, MI 49058-0362
(269) 948-9155
(269) 948-9577
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SU001970
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4710219
—
MI
Enumeration date
01/31/2007
Last updated
12/10/2007
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