Individual
CHRISTOPHER ALAN STALEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
520 MAIN ST, DOWAGIAC, MI 49047-1762
(269) 783-3052
Mailing address
520 MAIN ST, DOWAGIAC, MI 49047-1762
(269) 783-3052
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601009566
MI
Other
Enumeration date
09/25/2019
Last updated
07/08/2024
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