Individual
LAURIE C STANCZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
51086 FAIRCHILD RD, CHESTERFIELD, MI 48051-1998
(586) 421-3160
(586) 421-3161
Mailing address
51086 FAIRCHILD RD, CHESTERFIELD, MI 48051-1998
(586) 421-3160
(586) 421-3161
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
068457
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4331576
—
MI
Enumeration date
06/29/2006
Last updated
09/18/2014
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