Individual
BRETT J STACER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
96 E 120TH ST, GRANT, MI 49327-8502
(231) 834-1350
(231) 834-1355
Mailing address
520 COBB ST, CADILLAC, MI 49601-2588
(231) 876-6527
(231) 876-6519
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601008298
MI
Other
Enumeration date
07/10/2017
Last updated
10/19/2021
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