Individual
DR. ANDREW JAMES STASEVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1650 HASLETT RD, HASLETT, MI 48840-7615
(517) 339-3200
Mailing address
3955 PATIENT CARE DR STE A, LANSING, MI 48911-4271
(517) 374-7600
(855) 495-5457
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101013062
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043297955
—
MI
05
—
4713355
—
MI
Enumeration date
12/30/2005
Last updated
09/28/2023
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