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Individual

STEPHANIE D MARKLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.O

Contact information

Practice address
1717 SHAFFER ST, KALAMAZOO, MI 49048-1647
(269) 226-5456
Mailing address
5943 STADIUM DR, STE 1, KALAMAZOO, MI 49009-3016
(269) 552-2836

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
5101018440
MI
208600000X
Surgery Physician
OS13119
FL
2086S0102X
Surgical Critical Care Physician
5101018440
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
014766800
FL
Enumeration date
08/17/2009
Last updated
05/30/2023
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