Healthcare Provider Details

I. General information

NPI: 1811661978
Provider Name (Legal Business Name): STEPHANIE ANDERSON D.C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: STEPHANIE L ZELLAR DC

II. Dates (important events)

Enumeration Date: 08/03/2021
Last Update Date: 10/22/2025
Certification Date: 10/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

421 STIMPSON DR UNIT 104
PELLSTON MI
49769-8800
US

IV. Provider business mailing address

861 GLEN HAVEN CIR APT 2
PETOSKEY MI
49770-2896
US

V. Phone/Fax

Practice location:
  • Phone: 906-286-0163
  • Fax:
Mailing address:
  • Phone: 906-286-0163
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number5749-12
License Number StateWI
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2301011138
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: