Individual
STACEY JO DELMARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
677 E MAIN ST STE A, CENTREVILLE, MI 49032-8525
(269) 467-1000
Mailing address
132 S MONROE ST, STURGIS, MI 49091-1729
(269) 221-0681
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704330246
MI
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/14/2017
Last updated
10/19/2021
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