Stacia Gilde Marie Lagarde M.D.

NPI 1790871093 - Family Medicine - 207Q00000X

NPI Details
NPI 1790871093
Gender Female
Enumeration Date 10/05/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
751 LAFAYETTE AVE NE
GRAND RAPIDS MI, 49503-1628, US
Phone (616) 742-9945
Fax (616) 742-9967
Business Location
1384 E JEFFERSON RD
HART MI, 49420-8301, US
Phone (616) 742-9945
Fax (616) 742-9967
Toxanomy
Taxonomy Code 207Q00000X
License State Michigan
License Number 4301087952
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According to our database, Stacia Gilde Marie Lagarde M.D. NPI is 1790871093, taxonomy code is 207Q00000X and license number is 4301087952, license state is located at Michigan. Stacia Gilde Marie Lagarde M.D. physically located at 751 Lafayette Ave Ne, Grand Rapids MI, 49503-1628. NPI Number Stacia Gilde Marie Lagarde M.D. has the Individual type.

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1790871093 NPI number is provided on an as is basis without warranty of any kind. 1790871093 is maintained by the National Plan & Provider Enumeration System. The contents of Stacia Gilde Marie Lagarde M.D. are for informational purposes only.