Individual
STACEY KATHERINE NOEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109-5000
(734) 936-4230
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4310177980
MI
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
4301077980
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104782648
—
MI
01
—
P00247222
RR MEDICARE
MI
Enumeration date
04/26/2006
Last updated
10/07/2019
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