STACY SUZANNE BULL

EAST LANSING, MI
NPI1619071115
Former NameSTACY SUZANNE DUCKLOW
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207QS0010X Family Medicine, Sports Medicine
(Licence: MI  4301070974)
Enumeration Date2006-09-13
Last Update Date2018-09-07
Business Address
Dr. STACY SUZANNE BULL MD
463 E CIRCLE DR
EAST LANSING, MI 48824-7500
Phone number: 517-884-6502
Mailing Address
Dr. STACY SUZANNE BULL MD
804 SERVICE RD # A109F
EAST LANSING, MI 48824-7015
Phone number: 517-884-2976