Individual
MRS. JANE MARIE STAUFFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3147 LOGAN VALLEY RD, TRAVERSE CITY, MI 49684-4772
(231) 935-0668
Mailing address
3966 NORTHSHORE TRL, KEWADIN, MI 49648-8974
(269) 370-1345
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
4704092456
MI
Other
Enumeration date
05/06/2010
Last updated
05/06/2010
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