Individual
ALLISON M STAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3409 LUDINGTON STREET, SUITE 100, ESCANABA, MI 49829
(906) 789-4414
(906) 789-4406
Mailing address
3409 LUDINGTON STREET, SUITE 100, ESCANABA, MI 49829
(906) 789-4414
(906) 789-4406
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601006543
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1715928
—
MI
Enumeration date
10/26/2012
Last updated
09/16/2025
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