Individual
KELSEY LYNN STODDARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1675 LEAHY ST STE 201A, MUSKEGON, MI 49442-5542
(231) 672-6600
Mailing address
1675 LEAHY ST STE 315A, MUSKEGON, MI 49442-5543
(231) 727-5209
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
5151014225
MI
207V00000X
Obstetrics & Gynecology Physician
Primary
5151014225
MI
Other
Enumeration date
03/27/2020
Last updated
06/24/2022
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