Individual
KATE PETERSON STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109-5000
(734) 647-5299
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
4301097528
MI
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
4301097528
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12398
—
ND
05
—
680930800
—
MN
05
—
7708282
—
SD
Enumeration date
07/24/2006
Last updated
09/14/2020
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