NPI 1972991446

Stacy Stephenson

Practitioner Radiography Radiologic Technologist Livonia, MI

Practice location

Address: 38777 6 Mile Rd STE 209, Livonia, MI 48152-2660
Phone: (888) 414-7056

Registered specialties

Radiography Radiologic Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 2471C3402X Licence 355944 (MI)

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Registry record

NPI: 1972991446
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Jan 2015
Record last updated: 6 Jan 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.