Individual
DR. PAUL DAVID STUCKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
19639 MACK AVE, GROSSE POINTE WOODS, MI 48236-2535
(313) 882-2575
(313) 881-8656
Mailing address
19639 MACK AVE, GROSSE POINTE WOODS, MI 48236-2535
(313) 882-2575
(313) 881-8656
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9794
MI
Other
Enumeration date
06/15/2005
Last updated
01/28/2013
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