Individual
STACEY LYNN COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3409 LUDINGTON ST STE 104, ESCANABA, MI 49829
(906) 786-8343
Mailing address
3409 LUDINGTON ST STE 104, ESCANABA, MI 49829-4213
(906) 786-8343
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704213234
MI
Other
Enumeration date
08/03/2012
Last updated
08/14/2018
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