Individual
KAYLA STEFANKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
8950 PROFESSIONAL DR, CADILLAC, MI 49601-8599
(231) 876-1101
(231) 779-7701
Mailing address
8950 PROFESSIONAL DR, CADILLAC, MI 49601-8599
(231) 876-1101
(231) 775-2570
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101022990
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5101022990
LICENSE
MI
Enumeration date
05/10/2017
Last updated
03/05/2025
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