Individual
DR. STEPHANIE LYNNE FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1293 E PARKDALE AVE, SUITE 1200A, MANISTEE, MI 49660-8904
(231) 398-1550
(231) 398-1691
Mailing address
1293 E PARKDALE AVE, SUITE 1200A, MANISTEE, MI 49660-8904
(231) 398-1550
(231) 398-1691
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
5101012161
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1655100055
BLUE CARE NETWORK
MI
05
—
4074432
—
MI
01
—
700E110080
GROUP BCBS
MI
Enumeration date
11/03/2006
Last updated
06/20/2025
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