SearchMichigan111N00000X

Jessica Stallman

NPI 1770980120 · on the registry since 2014 · sole proprietor

Practice

Address
3875 M-72 E
Williamsburg, MI 49690
Phone
(231) 938-3830
Fax
(231) 938-3831

Additional practice sites

  • 1713 Mount Vernon Rd, Dunwoody, GA

Registry record

Primary taxonomy
111N00000X
111N00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-07-21

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