Individual
DR. ELIZABETH STAHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.P.M
Contact information
Practice address
1473 STEWART AVE, LINCOLN PARK, MI 48146-3395
(248) 414-5405
Mailing address
1473 STEWART AVE, LINCOLN PARK, MI 48146-3395
(248) 414-5405
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
ES001916
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4858111520
BCBSM
MI
01
—
4858215760
BLUE CROSS
—
01
—
4951437
MEDICAID
MI
Enumeration date
12/18/2006
Last updated
11/22/2007
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