Individual
PAUL TIMOTHY STALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1521 GULL RD, KALAMAZOO, MI 49048-1640
(269) 226-7240
Mailing address
1234 ODELL FARM LN, VICKSBURG, MI 49097-7772
(126) 922-4769
Taxonomy
Speciality
Code
Description
License number
State
246QM0706X
Medical Technologist
Primary
—
—
Other
Enumeration date
02/27/2024
Last updated
02/27/2024
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