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Stacey Visockis

NPI 1275134322 · on the registry since 2020 · sole proprietor

Practice

Address
3999 Alpine Ave Nw
Comstock Park, MI 49321
Phone
(616) 784-1619
Fax
(616) 784-2454
Organisation at this address
Wal-Mart Stores East Lp
Wal-Mart Stores East, Lp
Inferred from a shared address, not stated in the registry.
Clinicians at this address
9

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-11-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan