Individual
ELIZABETH M STOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1000 28TH ST SW, WYOMING, MI 49509-2881
(616) 655-7024
Mailing address
PO BOX 746723, ATLANTA, GA 30374-6723
(312) 733-9730
(773) 866-8014
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704250915
MI
Other
Enumeration date
08/17/2011
Last updated
07/27/2022
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