| Doctor Name: | MS. STEPHANIE L BUNCH |
| NPI Number: | 1386958874 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NPC |
| License Number: | 4704277254 |
| Business Practice Address: | 124 S Grand St Fowlerville, MI - 488369081 |
| Business Phone Number: | 5172233337 |
| Business Fax Number: | 5172233442 |
| Mailing Address: | Po Box 219, FOWLERVILLE |
| State: | MI |
| Postal Code: | 488360219 |
| Phone Number: | 5172233337 |
| Fax Number: | 5172233442 |
| NPI Enumeration Date: | 07/27/2010 |
| NPI Last Update Date: | 11/16/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 4704277254 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |