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JEFFREY JOHN STANLEY MD

Physicians Otolaryngology

Provider NPI: 1003838665

Provider Information:
 JEFFREY JOHN STANLEY MD
Gender: M
Not Sole Proprietor

Practice Location:
1500 E MEDICAL CENTER DR  ANN ARBOR, MI 48109-5000 US
Tel: 734-936-4000  Fax: --

Business Mailing Address:
3621 S STATE ST  ANN ARBOR, MI 48108-1633 US
Tel: 734-647-5299  Fax: --

NPI Information:
NPI: 1003838665
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Y00000XPhysicians
Otolaryngology
MI4301096614
N207Y00000XPhysicians
Otolaryngology
ND9374
N207YS0012XPhysicians
Otolaryngology
MI4301096614

Other Provider Identifiers:

IssuerNumberStateType
12388ND05
702616100MN05



American Medical Association 2012 taxonomy code information

Code: 207Y00000X

Type:

Classification:



Definition:



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