Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN1001X | Nutrition | 2301005996 | MI |
NPI | 1487727178 |
---|---|
Provider Name | Dr. Stacey Jeanne Francis |
First Address | Bloomfield Hills, MI 48301-3158 |
Second Address | Bloomfield Hills, MI 48301-3158 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/11/2006 |
Last Update Date | 13/10/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
38-3476976 | FEDERAL ID NUMBER (01) | MI |