Doctor Name: | MARGARET ANN STAPF |
NPI Number: | 1619915196 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | 5601001971 |
Business Practice Address: | 2373 64th St Sw Ste 1200 Byron Center, MI - 49315 |
Business Phone Number: | 6163019347 |
Business Fax Number: | |
Mailing Address: | 245 State St Se, Ste 221 GAND RAPIDS |
State: | MI |
Postal Code: | 49503 |
Phone Number: | 6166858050 |
Fax Number: | 6166851850 |
NPI Enumeration Date: | 06/04/2006 |
NPI Last Update Date: | 07/30/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 5601001971 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MI |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |