JOHN CHARLES STABB

DETROIT, MI
NPI1639301898
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: MI  5601001209)
Enumeration Date2009-08-20
Last Update Date2009-08-20
Business Address
-- JOHN CHARLES STABB PAC
4771 MICHIGAN AVE
DETROIT, MI 48210-3247
Phone number: 313-897-2600
Mailing Address
-- JOHN CHARLES STABB PAC
4771 MICHIGAN AVE
DETROIT, MI 48210-3247
Phone number: 313-897-2600