Individual
NICOLAE STAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
28300 FRANKLIN RD, SOUTHFIELD, MI 48034-1657
(248) 353-6200
Mailing address
2540 GEOFFRY DR, WARREN, MI 48092-5402
(313) 850-7551
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704269059
MI
Other
Enumeration date
06/20/2018
Last updated
06/20/2018
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