Individual
STACIE DOSENBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7915 W CIRCLE DR, PARMA, MI 49269-9534
(517) 531-0004
Mailing address
7915 W CIRCLE DR, PARMA, MI 49269-9534
(517) 531-0004
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703106851
MI
Other
Enumeration date
06/03/2015
Last updated
06/03/2015
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