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Individual

MRS. DANIELLE M STABLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
8180 26 MILE RD STE 300, SHELBY TOWNSHIP, MI 48316-5139
(586) 992-8300
Mailing address
44201 DEQUINDRE RD, TROY, MI 48085-1117
(248) 423-2454
(248) 423-2576

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601005094
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1477230498
NPI
SC
Enumeration date
08/29/2007
Last updated
08/16/2023
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