Individual
JOHN CHARLES STABB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
4771 MICHIGAN AVE, DETROIT, MI 48210-3247
(313) 897-2600
(313) 897-2424
Mailing address
4771 MICHIGAN AVE, DETROIT, MI 48210-3247
(313) 897-2600
(313) 897-2424
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601001209
MI
Other
Enumeration date
08/20/2009
Last updated
08/20/2009
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