Organization
JOHN M. STAFFORD, MD, AND ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN STAFFORD MD (PRESIDENT)
(269) 428-2552
Entity
Organization
Contact information
Practice address
3800 HOLLYWOOD RD STE 101, ROYALTON MED CENTER, SAINT JOSEPH, MI 49085-8511
(269) 428-2552
(269) 428-2943
Mailing address
3800 HOLLYWOOD RD STE 101, ROYALTON MED CENTER, SAINT JOSEPH, MI 49085-8511
(269) 428-2552
(269) 428-2943
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301044515
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
310272010
—
MI
Enumeration date
07/09/2006
Last updated
12/06/2009
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