Individual
LISA SUE STADTFELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2600 THREE LEAVES DR, MT PLEASANT, MI 48858-5523
(989) 779-5600
Mailing address
2600 THREE LEAVES DR, MT PLEASANT, MI 48858-5523
(989) 779-5600
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704176029
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704176026
LICENSE
MI
Enumeration date
01/21/2010
Last updated
01/21/2010
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