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NPI Code Detail

MEDICARE: ANA-MARIJA STAHL NP

MEDICARE: ANA-MARIJA STAHL NP
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
1363LF0000XFamily Nurse Practitioner4704295842MI

General Provider Information

NPI Number : 1336643683
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANA-MARIJA STAHL NP
Provider Business Mailing Address
First Line : 220 S MAIN ST
Second Line :
City : ROYAL OAK
State : MI
Zip : 48067-2676
Country : US
Telephone Number : 248-216-4704
Fax Number :
Provider Business Practice Location Address
First Line : 220 S MAIN ST
Second Line :
City : ROYAL OAK
State : MI
Zip : 48067-2676
Country : US
Telephone Number : 248-216-4704
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2018
Last Update Date : 02/03/2026

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