Search › Michigan › 101Y00000X
Stacy Young
NPI 1295264448 · on the registry since 2017
Practice
- Address
- 32652 Kno Drive
Dowagiac, MI 49047 - Phone
- (269) 982-3832
- Organisation at this address
- Pokagon Band Of Potawatomi Indians
Pokagon Band Of Potawatomi IndiansInferred from a shared address, not stated in the registry. - Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 101Y00000X
101Y00000X
- Also registered as
- 101YP2500X
106H00000X - Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-11-29
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