Individual
ANDREW ROGER STACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1500 EAST MEDICAL CENTER DR, 3RD FLOOR CARDIOVASCULAR CENTER, ANN ARBOR, MI 48109-5856
(888) 287-1082
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704292793
MI
363LA2100X
Acute Care Nurse Practitioner
4704292793
MI
Other
Enumeration date
07/09/2018
Last updated
12/13/2018
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