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Individual

DR. STACY A UEBELE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
1005 W GREEN ST, 304, HASTINGS, MI 49058-1712
(269) 948-9155
(269) 948-9577
Mailing address
P O BOX 362, HASTINGS, MI 49058
(269) 948-9155
(269) 948-8964

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
001970
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4710193
MI
05
4710219
MI
05
4766591
MI
Enumeration date
07/25/2006
Last updated
07/09/2007
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