SearchMichigan163WP0200X

Stacie Vanderver

NPI 1790019222 · on the registry since 2009

Practice

Address
2850 S Industrial Hwy Spc 5758
Ann Arbor, MI 48104
Phone
(734) 477-7298
Fax
(734) 998-2369

Registry record

Primary taxonomy
163WP0200X
163WP0200X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2009-09-30

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