STACEY LYNN PRANTERA

DETROIT, MI
NPI1063592046
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MI  5601004380)
Enumeration Date2006-10-16
Last Update Date2023-10-09
Business Address
STACEY LYNN PRANTERA PA-C
2799 W GRAND BLVD
DETROIT, MI 48202-2608
Phone number: 313-916-0841
Mailing Address
STACEY LYNN PRANTERA PA-C
2799 W GRAND BLVD # K-17
DETROIT, MI 48202-2608
Phone number: 313-916-2436
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