Individual
NATHAN MARC STONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA TLLP
Contact information
Practice address
2075 W BIG BEAVER RD STE 520, TROY, MI 48084-3442
(248) 646-6659
(248) 642-8645
Mailing address
2075 W BIG BEAVER RD STE 520, TROY, MI 48084-3442
(248) 646-6659
(248) 642-8645
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301016540
MI
213E00000X
Podiatrist
5901001438
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
298726113
—
MI
01
—
4858253120
BCBS
—
01
—
P80482
BCN
—
Enumeration date
08/30/2006
Last updated
09/26/2019
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