Individual
WILLIAM CHARLES STACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 E MEDICAL CENTER DR, 1ST FLOOR TAUBMAN CENTER RECP C, ANN ARBOR, MI 48109-5322
(734) 936-9010
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
2084E0001X
Epilepsy Physician
Primary
4301095987
MI
2084N0400X
Neurology Physician
35-085767
OH
2084N0400X
Neurology Physician
4301095987
MI
Other
Enumeration date
10/18/2005
Last updated
12/30/2024
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