Individual
ALFRED NATHAN STANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 EAST MEDICAL CENTER DRIVE, B1 FLOOR UNIVERSITY HOSPITAL RECP C, ANN ARBOR, MI 48109-5030
(734) 936-4566
Mailing address
3621 SOUTH STATE STREET, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4301108685
MI
2085R0202X
Diagnostic Radiology Physician
MD0029176
WA
2085R0202X
Diagnostic Radiology Physician
MDE00029176
WA
Other
Enumeration date
01/23/2006
Last updated
10/16/2015
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