Individual
DANIEL STACHELSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
22646 E 9 MILE RD, SUITE A, ST CLAIR SHORES, MI 48080-1951
(586) 498-4800
(586) 498-4830
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301054741
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4154293
—
MI
Enumeration date
08/17/2005
Last updated
10/23/2020
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