Individual
JEFFREY JOHN STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109-5000
(734) 936-4000
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
4301096614
MI
207Y00000X
Otolaryngology Physician
9374
ND
207YS0012X
Sleep Medicine (Otolaryngology) Physician
Primary
4301096614
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12388
—
ND
05
—
702616100
—
MN
Enumeration date
07/24/2006
Last updated
02/15/2024
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