Miller, Stacey Lynne

Miller, Stacey Lynne is an individual health care provider with primary practice located at 44250 Garfield Rd Ste 160, Clinton Township MI 48038-1150. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Miller, Stacey Lynne can be contacted via phone (586) 228-2255.

Contact Information

Primary practice address
44250 Garfield Rd Ste 160 Clinton Township MI 48038-1150
Phone: (586) 228-2255
Fax: (586) 228-2740
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X SM001761 Michigan

Profile Details

NPI number 1710982434
LBN Legal business name Miller, Stacey Lynne
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2005
Last updated Oct 22nd, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710982434 NPPES
Michigan Other 104531 GREAT LAKES HEALTH PLAN
Michigan MEDICAID 4616763 GREAT LAKES HEALTH PLAN
Michigan Other 4855050800 GREAT LAKES HEALTH PLAN
Michigan Other 4855050800 GREAT LAKES HEALTH PLAN
Michigan Other 9102424001 GREAT LAKES HEALTH PLAN
Michigan Other U71952 GREAT LAKES HEALTH PLAN
Michigan Other 10113130003 GREAT LAKES HEALTH PLAN
Michigan Other 4616763 GREAT LAKES HEALTH PLAN
Michigan Other 17303 GREAT LAKES HEALTH PLAN
Michigan Other 7538001 GREAT LAKES HEALTH PLAN
Michigan Other 126745 GREAT LAKES HEALTH PLAN
Michigan Other P00140080 GREAT LAKES HEALTH PLAN

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