Individual
STACY L WELSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1434 FLUSHING RD, FLUSHING, MI 48433-2229
(810) 659-3196
Mailing address
3495 S CENTER RD, BURTON, MI 48519-1455
(810) 424-2011
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704221959
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704221959
LICENSE
MI
Enumeration date
08/06/2007
Last updated
04/14/2015
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