Individual
DR. ALLISON A STOECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2433 OAK VALLEY DR STE 400, ANN ARBOR, MI 48103-7602
(734) 477-0200
Mailing address
5141 VIRGINIA WAY STE 350, BRENTWOOD, TN 37027-2319
(855) 744-8554
(630) 495-1770
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
DO184772
OR
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
5101026056
MI
207ND0101X
MOHS-Micrographic Surgery Physician
DO184772
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1720436397
—
MI
01
—
5101026056
STATE LICENSE
MI
01
—
5315223017
CDS
MI
Enumeration date
05/24/2016
Last updated
11/07/2024
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