Stacherski, Mark D

Stacherski, Mark D is an individual health care provider with primary practice located at 37595 7 Mile Rd Suite 220, Livonia MI 48152-1003. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Stacherski, Mark D can be contacted via phone (734) 432-7581.

Contact Information

Primary practice address
37595 7 Mile Rd Suite 220 Livonia MI 48152-1003
Fax: (734) 853-5698
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301060110 Michigan

Profile Details

NPI number 1053389775
LBN Legal business name Stacherski, Mark D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Jan 15th, 2020 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1053389775 NPPES
Michigan MEDICAID 4619157

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