MEDICARE: STEPHANIE NORRIS DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program
2	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	5101021694	MI
3	207R00000X	Internal Medicine Physician	5101021694	MI

General Provider Information

NPI Number	:	1154716470
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANIE NORRIS DO

Provider Business Mailing Address
First Line	:	24 FRANK LLOYD WRIGHT DR STE J2000
Second Line	:
City	:	ANN ARBOR
State	:	MI
Zip	:	48105-9484
Country	:	US
Telephone Number	:	734-747-6766
Fax Number	:

Provider Business Practice Location Address
First Line	:	IHA HOSPITAL MEDICINE SERVICES
Second Line	:	5301 E HURON RIVER DRIVE
City	:	YPSILANTI
State	:	MI
Zip	:	48197
Country	:	US
Telephone Number	:	734-712-8676
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/02/2015
Last Update Date	:	03/19/2026

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