Individual
MELISSA STUCKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1500 E MEDICAL CENTER DR, B1 FLOOR UNIVERSITY HOSPITAL RECP. EMERGENCY, ANN ARBOR, MI 48109-5000
(734) 936-6666
Mailing address
3621 SOUTH STATE., 700 KMS PLACE, ATTN: ELLEN KAYFES, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
010962-1
NY
363A00000X
Physician Assistant
Primary
5601003625
MI
Other
Enumeration date
09/13/2006
Last updated
10/27/2007
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