Individual
STEPHANI L FLEEZANIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3577 W 13 MILE RD STE 204, ROYAL OAK, MI 48073-6710
(248) 551-2446
(248) 551-1094
Mailing address
29992 NORTHWESTERN HWY STE C, FARMINGTON HILLS, MI 48334-3292
(248) 851-1430
(248) 851-5182
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704295352
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1720529035
—
MI
Enumeration date
03/20/2017
Last updated
08/27/2020
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