Individual
DR. STEPHANIE NULTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MBA
Contact information
Practice address
26850 PROVIDENCE PKWY STE 260, NOVI, MI 48374-1256
(248) 465-5140
Mailing address
PO BOX 14128, BELFAST, ME 04915-4032
(248) 680-8000
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
4301513789
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/21/2019
Last updated
06/19/2025
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