# MICHAEL E. STACHECKI, M.D., P.L.L.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508992041
- **Authorized official:** DR. MICHAEL E STACHECKI M.D. (OWNER--MANAGING AGENT)
- **Authorized official phone:** (248) 620-1720

## Contact information

- **Practice address:** 5885 S MAIN ST, SUITE 3, CLARKSTON, MI 48346-2981
- **Practice address phone:** (248) 620-1720
- **Practice address fax:** (248) 620-1740
- **Mailing address:** 5885 S MAIN ST, SUITE 3, CLARKSTON, MI 48346-2981
- **Mailing address phone:** (248) 620-1720
- **Mailing address fax:** (248) 620-1740

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 4301058225 | MI | Yes |
| 208000000X | Pediatrics Physician | 4301058225 | MI | — |

## Other

- **Enumeration date:** 02/27/2007
- **Last updated:** 02/25/2014