Individual
STACIA MARIE PROEFROCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1611 CHANDLER RD, ANN ARBOR, MI 48105-1609
(734) 834-5392
(734) 665-1568
Mailing address
1611 CHANDLER RD, ANN ARBOR, MI 48105-1609
(734) 834-5392
(734) 665-1568
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
—
Other
Enumeration date
05/24/2007
Last updated
04/02/2008
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