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Organization

MICHAEL E. STACHECKI, M.D., P.L.L.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL E STACHECKI M.D. (OWNER--MANAGING AGENT)
(248) 620-1720
Entity
Organization

Contact information

Practice address
5885 S MAIN ST, SUITE 3, CLARKSTON, MI 48346-2981
(248) 620-1720
(248) 620-1740
Mailing address
5885 S MAIN ST, SUITE 3, CLARKSTON, MI 48346-2981
(248) 620-1720
(248) 620-1740

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301058225
MI
208000000X
Pediatrics Physician
4301058225
MI

Other

Enumeration date
02/27/2007
Last updated
02/25/2014
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