Individual
CAMRAN STACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9315 TELEGRAPH RD, REDFORD, MI 48239-1260
(313) 450-4500
(313) 450-4512
Mailing address
5630 PARDEE AVE APT 5, DEARBORN HEIGHTS, MI 48125-2450
(989) 331-2800
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
12/10/2024
Last updated
12/10/2024
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