Individual
DR. SUZAN MARIE STACKNIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S., M.S.
Contact information
Practice address
124 QUINCY ST, HANCOCK, MI 49930-1827
(906) 482-0015
(906) 482-3225
Mailing address
611 W HOUGHTON AVE, HOUGHTON, MI 49931-2340
(906) 482-6105
(906) 482-3225
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2901011868
MI
Other
Enumeration date
01/17/2007
Last updated
07/08/2007
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