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Organization

GRANDVIEW FOOT AND ANKLE PC

Active
Other names
Stacy A Uebele DPM
Organization subpart
No

Provider details

NPI number
Authorized official
STACY AARON UEBELE DPM (PODIATRIST)
(269) 948-9155
Entity
Organization

Contact information

Practice address
1005 W GREEN ST, SUITE NUMBER 304, HASTINGS, MI 49058-1712
(269) 948-9155
(269) 948-9577
Mailing address
PO BOX 362, HASTINGS, MI 49058-0362
(269) 948-9155
(269) 948-9577

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SU001970
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4710193
MI
05
4710219
MI
05
4766591
MI
Enumeration date
01/29/2007
Last updated
12/10/2007
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