Individual
DR. MICHELE M STOCKTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
1113 W LAKE ST, TAWAS CITY, MI 48764
(989) 362-9910
(989) 362-8198
Mailing address
1113 W LAKE ST, PO BOX 207, TAWAS CITY, MI 48763-9304
(989) 362-9910
(989) 362-8198
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301007273
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
950C550070
BLUE CROSS
MI
Enumeration date
06/20/2006
Last updated
09/16/2010
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