Individual
JOHN M. STAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3800 HOLLYWOOD RD STE 101, ROYALTON MEDICAL CENTER, SAINT JOSEPH, MI 49085-8511
(269) 428-2552
(269) 428-2943
Mailing address
3800 HOLLYWOOD RD STE 101, ROYALTON MEDICAL CENTER, SAINT JOSEPH, MI 49085-8511
(269) 428-2552
(269) 428-2943
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301044515
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
310272010
—
MI
Enumeration date
05/30/2005
Last updated
11/27/2013
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