STACY N SLADE

TRAVERSE CITY, MI
NPI1265459267
Former NameSTACY N BIENKOWSKI
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MI  5601004319)
Enumeration Date2006-07-16
Last Update Date2014-09-01
Business Address
-- STACY N SLADE PA
1225 W FRONT ST
TRAVERSE CITY, MI 49684-2368
Phone number: 231-935-0788
Mailing Address
-- STACY N SLADE PA
1225 W FRONT ST
TRAVERSE CITY, MI 49684-2368
Phone number: 231-935-0788
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