| Doctor Name: | DR. STACY A UEBELE |
| NPI Number: | 1063435659 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.P.M. |
| License Number: | 001970 |
| Business Practice Address: | 1005 W Green St 304 Hastings, MI - 490581712 |
| Business Phone Number: | 2699489155 |
| Business Fax Number: | 2699489577 |
| Mailing Address: | P O Box 362, HASTINGS |
| State: | MI |
| Postal Code: | 49058 |
| Phone Number: | 2699489155 |
| Fax Number: | 2699488964 |
| NPI Enumeration Date: | 07/25/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | 001970 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |