Individual
JACLYN FRANCES STODDARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6565 WEST MAIN ST., KALAMAZOO, MI 49009
(269) 375-0400
(269) 372-8484
Mailing address
6565 WEST MAIN ST., KALAMAZOO, MI 49009
(269) 375-0400
(269) 372-8484
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601005102
MI
Other
Enumeration date
10/01/2007
Last updated
11/18/2016
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