Healthcare Provider Details

I. General information

NPI: 1851214753
Provider Name (Legal Business Name): STEPHEN MILARCH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

426 N INGALLS ST
ANN ARBOR MI
48109-2003
US

IV. Provider business mailing address

9070 STONEVIEW LN
WHITMORE LAKE MI
48189-8016
US

V. Phone/Fax

Practice location:
  • Phone: 734-763-5985
  • Fax:
Mailing address:
  • Phone: 810-923-8676
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number4704367831NSA260LG
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: