Staci Michele Kaczor NP

NPI 1487888970 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1487888970
Gender Female
Enumeration Date 05/12/2009
Last Updated 09/13/2012
Entity Type Individual
Active Over 7 years ago
Practice Location
1500 EAST MEDICAL CENTER DR
11TH FLOOR C.S. MOTT CHILDREN'S HOSPITAL RM 661
ANN ARBOR MI, 48109-5204, US
Phone (734) 764-5176
Fax
Business Location
3621 S STATE ST
700 KMS PLACE
ANN ARBOR MI, 48108, US
Phone (734) 936-2047
Fax
Toxanomy
Taxonomy Code 363LF0000X
License State Michigan
License Number 4704225310
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According to our database, Staci Michele Kaczor NP NPI is 1487888970, taxonomy code is 363LF0000X and license number is 4704225310, license state is located at Michigan. Staci Michele Kaczor NP physically located at 1500 East Medical Center Dr, Ann Arbor MI, 48109-5204. NPI Number Staci Michele Kaczor NP has the Individual type.

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1487888970 NPI number is provided on an as is basis without warranty of any kind. 1487888970 is maintained by the National Plan & Provider Enumeration System. The contents of Staci Michele Kaczor NP are for informational purposes only.