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Organization

STARA MED SPA, PLLC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. STACEY KRAUSE BSN, RN (AUTHORIZED OFFICIAL)
(616) 334-9987
Entity
Organization

Contact information

Practice address
216 E GRAND RIVER RD, LAINGSBURG, MI 48848-8600
(616) 334-9987
Mailing address
216 E GRAND RIVER RD, LAINGSBURG, MI 48848-8600

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary

Other

Enumeration date
11/16/2022
Last updated
11/16/2022
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