Individual
STACEY FAUSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
75763 BURMAN RD, RICHMOND, MI 48062-3241
(248) 762-8762
Mailing address
75763 BURMAN RD, RICHMOND, MI 48062-3241
(248) 762-8762
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/31/2023
Last updated
07/31/2023
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