Individual
STEPHANIE MISCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
1515 E. HOSPITAL DRIVE, G1218 TOWSLEY CENTER, SPC 5222, ANN ARBOR, MI 48109-5222
(734) 232-6048
Mailing address
1515 E. HOSPITAL DRIVE, G1218 TOWSLEY CENTER, SPC 5222, ANN ARBOR, MI 48109-5222
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901021311
MI
Other
Enumeration date
06/18/2014
Last updated
06/18/2014
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