Individual
DR. INGRID M STINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM, FACFAS
Contact information
Practice address
3955 PATIENT CARE WAY, SUITE A, LANSING, MI 48911-4299
(517) 374-7600
(517) 374-7659
Mailing address
3955 PATIENT CARE WAY, SUITE A, LANSING, MI 48911-4299
(517) 374-7600
(517) 374-7659
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
IS001340
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1066979
MCLAREN
MI
05
—
1821182023
—
MI
01
—
200000032680
PHP OF MID MICHIGAN
MI
01
—
4061788
AETNA
MI
01
—
4853312980
BLUE CROSS BLUE SHIELD/BLUE CARE NETWORK OF MICHIGAN
MI
Enumeration date
10/03/2006
Last updated
09/20/2012
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