Individual
DR. ANDREW STANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
12851 W M 179 HWY, WAYLAND, MI 49348-9318
(877) 377-7322
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101021098
MI
Other
Enumeration date
06/19/2014
Last updated
07/07/2022
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