SearchMichigan163W00000X

Stacy Carlisle

NPI 1417757485 · on the registry since 2025

Practice

Address
5049 Harrison St
Wayne, MI 48184
Phone
(313) 971-2319

Registry record

Primary taxonomy
163W00000X
163W00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-03-18

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