Organization Name: | STEPHANIE J ASH MD PLLC |
NPI Number: | 1972617835 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STEPHANIE J ASH (PHYSICIAN/OWNER) |
Mailing Address: | 829 N. Pine Rd. Essexville |
State: | MI US |
Postal Code: | 487322109 |
Phone Number: | 9898956484 |
Fax Number: | 9898952520 |
NPI Enumeration Date: | 08/18/2006 |
NPI Last Update Date: | 11/04/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VX0000X |
License Number: | 4301067456 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Obstetrics |
Taxonomy Definition: |