Individual
STACEY ANNE AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1915 E 14 MILE RD, BIRMINGHAM, MI 48009-7244
(248) 723-4777
Mailing address
1776 JOHN PAUL CT, OXFORD, MI 48371-4472
(248) 310-1712
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704275033
MI
Other
Enumeration date
04/12/2018
Last updated
01/13/2022
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