Individual
MRS. CAROLYN B STOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-BC
Contact information
Practice address
22151 MOROSS RD, PB 1, SUITE 131, DETROIT, MI 48236-2167
(313) 343-7785
(313) 343-4234
Mailing address
24722 CROCKER BLVD, HARRISON TOWNSHIP, MI 48045-1904
(586) 783-5513
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704180950
MI
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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