Individual
MS. STEPHANIE L MISCIASCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1500 E SHERMAN BLVD, MUSKEGON, MI 49444-1849
(231) 672-3883
Mailing address
1560 E SHERMAN BLVD STE 240, MUSKEGON, MI 49444-1854
(231) 672-3883
(231) 672-3873
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301104699
MI
208000000X
Pediatrics Physician
4301104699
MI
208M00000X
Hospitalist Physician
Primary
4301104699
MI
Other
Enumeration date
05/24/2010
Last updated
04/23/2022
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