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1619071115
STACY SUZANNE BULL
EAST LANSING, MI
NPI
1619071115
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Former Name
STACY SUZANNE DUCKLOW
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207QS0010X Family Medicine, Sports Medicine
(Licence: MI 4301070974)
Enumeration Date
2006-09-13
Last Update Date
2018-09-07
Business Address
Dr. STACY SUZANNE BULL MD
463 E CIRCLE DR
EAST LANSING, MI 48824-7500
Phone number: 517-884-6502
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Mailing Address
Dr. STACY SUZANNE BULL MD
804 SERVICE RD # A109F
EAST LANSING, MI 48824-7015
Phone number: 517-884-2976
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