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Linda K Stanley MD PLLC

Family Medicine in Niles, MI. Organization (NPI-2).

NPI number1962625822
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1962625822
Entity type
Organization (NPI-2)
Legal business name
Linda K Stanley MD PLLC
Organization subpart
No
Enumeration date
Apr 10, 2007
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine4301043549MIYes

Practice location

9 S Saint Joseph Ave
Niles, MI 49120-2846

Phone 269-684-8100 · Fax 269-684-8261

Mailing address

9 S Saint Joseph Ave
Niles, MI 49120-2846

Phone 269-684-8100 · Fax 269-684-8261

Authorized official

Linda K Stanley
Sole Proprietor
2696848100

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