Individual
STACEY LYNN MCBEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
43361 COMMONS DR, CLINTON TWP, MI 48038-1109
(586) 745-3006
Mailing address
43361 COMMONS DR, CLINTON TWP, MI 48038-1109
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704274561
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4704274561
—
MI
Enumeration date
02/22/2019
Last updated
12/17/2020
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