Rudy, Stacey Lynn

Rudy, Stacey Lynn is an individual health care provider with primary practice located at 30800 Telegraph Rd Suite 3900, Bingham Farms MI 48025-4542. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Rudy, Stacey Lynn can be contacted via phone (248) 712-2100.

Contact Information

Primary practice address
30800 Telegraph Rd Suite 3900 Bingham Farms MI 48025-4542
Phone: (248) 712-2100
Fax: (248) 712-2320
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601003168 Michigan

Profile Details

NPI number 1134394059
LBN Legal business name Rudy, Stacey Lynn
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 23rd, 2008
Last updated Apr 23rd, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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