Individual
KAREN JOY STANKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
3901 BEAUBIEN ST, DETROIT, MI 48201-2119
(313) 745-5227
Mailing address
PO BOX 673671, DETROIT, MI 48267-0001
(313) 745-0770
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704141184
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19990637
NTL ASSOC PEDIATRIC N&P C
—
Enumeration date
09/17/2006
Last updated
03/07/2023
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