SearchMichigan363A00000X

Stacy Manski, PA-C

NPI 1366165565 · on the registry since 2022

Practice

Address
2700 E Centre Ave
Portage, MI 49002
Phone
(269) 286-7050
Clinicians at this address
18

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-06-27

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