Individual
DR. STACY L CORRADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
35737 HARPER AVE, SUITE 2, CLINTON TWP, MI 48035-3210
(586) 465-6111
(586) 465-6100
Mailing address
198 S MAIN ST STE 3, MOUNT CLEMENS, MI 48043-7917
(586) 465-6111
(586) 465-6100
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
SW007428
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2301007428
MICHIGAN LICENSE
MI
Enumeration date
11/08/2006
Last updated
02/11/2019
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