Individual
NATHAN C STACHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
635 W 14 MILE RD, CLAWSON, MI 48017-1901
(248) 288-6070
Mailing address
635 W 14 MILE RD, CLAWSON, MI 48017-1901
(248) 288-6770
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901020642
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679835250
—
MI
Enumeration date
06/11/2012
Last updated
05/22/2024
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