STACEY STEFANSKY DPM PLLC


Address: 2130 Marshall Court, Waterford, MI 48329-4069
Phone: 2483905730

STACEY STEFANSKY DPM PLLC (NPI# 1194964452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194964452
Entity Type Organization
Organization Name STACEY STEFANSKY DPM PLLC
Practice Address 2130 Marshall Court
Waterford
MI 48329-4069
Mailing Address Po Box 300965
Drayton Plains
MI 48330-0965
Practice Telephone 2483905730
Mailing Telephone 2483905730
Enumeration Date 2009-02-10
Last Update Date 2019-07-23
Authorized Official Name STACEY STEFANSKY (OWNER)
Authorized Official Telephone 2483905730
Authorized Official Credential DPM
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP1100X Clinic/Center
Specialization: Podiatric
5901002115 MI Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
MI BLUE CROSS BLUE SHIELD 4856320100 01
MI 1053399949 05

Office Location

Street Address 2130 MARSHALL COURT
City WATERFORD
State MI
Zip Code 48329-4069

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1386124139 Melissa A Blake Occupational Therapist 3257 Whitfield Ct, Waterford, MI 48329 2018-08-20
1932699741 Julianne Marie Fittonneville Counselor 4000 W Walton Blvd Ste A&b, Waterford, MI 48329 2018-05-16
1730615717 Innovative Lifestyles, Inc Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 5490 Dixie Hwy, Suite 1, Waterford, MI 48329 2017-05-11
1841670502 Kayla Brianne Dandino Speech-Language Pathologist 5601 Hatchery Rd., Waterford Township, MI 48329 2015-06-08
1093122400 Caring 4 Loved Ones, Inc Registered Nurse 3549 Lakeshore Dr., Waterford, MI 48329 2014-07-17
1124448329 Michael Alan Watson Emergency Medicine 5826 Dixie Hwy, Waterford Township, MI 48329 2014-04-27
1417263120 Metro Imaging Center Plc Dentist 4664 W. Walton Blvd., Waterford, MI 48329 2010-08-19
1225278013 S.e.t. Footcare, P.C. Podiatrist 4396-1 Dixie Hwy, Waterford, MI 48329 2009-03-06
1962556498 Mark Andrew Laszlo Dentist 4624 Walton Blvd, Waterford, MI 48329 2007-01-22
1437211927 Pankajini N Doshi Pediatrics 4299 Roseberry Ct, Waterford, MI 48329 2006-12-14
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Taxonomy Information

Taxonomy Code 261QP1100X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Podiatric

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1245849009 Southern Michigan Foot & Ankle, Plc Clinic/Center 14167 C B Macdonald Way, Vicksburg, MI 49097-8397 2020-07-28
1982229159 Jeri Berkowitz Pllc Clinic/Center 7001 Orchard Lake Rd Ste 230b, West Bloomfield, MI 48322-3659 2020-06-12
1871965954 Pardee Foot Clinic Clinic/Center 9029 Pardee Rd, Taylor, MI 48180-2755 2015-10-28
1386814978 Jess Kraft Dpm PC Clinic/Center 27920 Arlington Dr, Southfield, MI 48076-5605 2008-03-10
1740341411 Sturgis Surgicare Clinic/Center 102 S Lakeview Avenue, Sturgis, MI 49091 2006-12-13
1154391985 Southgate Foot and Ankle Center Pllc Clinic/Center 14535 Northline Rd., Southgate, MI 48195-2446 2006-01-24
1992363097 Matthew D Andrews Dpm PC Clinic/Center 1221 S Ortonville Rd Bldg B, Ortonville, MI 48462-8676 2019-06-03
1063077998 Kevin Garfield Dpm PC Clinic/Center 1775 E 14 Mile Rd Ste 100, Birmingham, MI 48009-7204 2019-05-06
1467953422 Right Step Podiatry Care Pllc Clinic/Center 5245 Schaefer Rd Ste D, Dearborn, MI 48126-3257 2018-02-26
1003341520 Balanced Podiatry Care Clinic/Center 2914 Southlawn St, Ypsilanti, MI 48197-1986 2017-04-21
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Competitor

Search similar providers

City WATERFORD
Zip Code 48329

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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