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1902032378
STACEY L MCEWEN
GRAND BLANC, MI
NPI
1902032378
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: MI 5101018138)
Enumeration Date
2009-05-29
Last Update Date
2009-05-29
Business Address
-- STACEY L MCEWEN D.O.
1 GENESYS PKWY
GRAND BLANC, MI 48439-8065
Phone number: 810-606-5000
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Mailing Address
-- STACEY L MCEWEN D.O.
13476 BRYSON CT
FENTON, MI 48430-1078
Phone number: 810-241-2557
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