Stacie Michelle Griffin M.D.

NPI 1093975567 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1093975567
Gender Female
Enumeration Date 06/09/2008
Last Updated 05/23/2016
Entity Type Individual
Active Over 8 years ago
Practice Location
180 S 3RD ST STE 400
BELLEVILLE IL, 62220-1952, US
Phone (618) 233-7880
Fax
Business Location
9038 HUNTER BAY DR
BRIGHTON MI, 48114-4933, US
Phone (734) 751-2539
Fax
Toxanomy
Taxonomy Code 390200000X
License State Illinois
License Number 125054772
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According to our database, Dr. Stacie Michelle Griffin M.D. NPI is 1093975567, taxonomy code is 390200000X and license number is 125054772, license state is located at Illinois. Stacie Michelle Griffin M.D. physically located at 180 S 3rd St Ste 400, Belleville IL, 62220-1952. NPI Number Stacie Michelle Griffin M.D. has the Individual type.

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1093975567 NPI number is provided on an as is basis without warranty of any kind. 1093975567 is maintained by the National Plan & Provider Enumeration System. The contents of Stacie Michelle Griffin M.D. are for informational purposes only.