Individual
DEREK STODOLAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10300 W 8 MILE RD, FERNDALE, MI 48220-2100
(248) 398-3200
(248) 691-4963
Mailing address
10300 W 8 MILE RD, FERNDALE, MI 48220-2100
(248) 398-3200
(248) 691-4963
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301508955
MI
Other
Enumeration date
06/24/2019
Last updated
11/07/2023
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