Individual
STACY MARCOUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2920 TOWER HILL RD, HOUGHTON LAKE, MI 48629-7505
(989) 741-0222
Mailing address
2920 TOWER HILL RD, HOUGHTON LAKE, MI 48629-7505
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704274845
MI
Other
Enumeration date
10/17/2024
Last updated
10/17/2024
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