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JESSICA LYNN STAMATIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PAC

Contact information

Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-2600
Mailing address
443 CHAMPAIGN RD, LINCOLN PARK, MI 48146-3003
(734) 934-3801

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601004753
MI

Other

Enumeration date
06/01/2006
Last updated
07/08/2007
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