Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 4301102462 | MI |
N | 207YX0007X | Plastic Surgeon (Head & Neck) | 4301102462 | MI |
NPI | 1235391905 |
---|---|
Provider Name | Dr. Emily Z Stucken |
First Address | Ann Arbor, MI 48108 |
Second Address | Ann Arbor, MI 48109-5312 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/06/2008 |
Last Update Date | 09/07/2015 |