Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 4301097868 | MI |
N | 208000000X | Pediatrician | MD433851 | PA |
N | 208000000X | Pediatrician | MT185625 | PA |
Y | 2080P0208X | Pediatric Infectious Diseases | 4301097868 | MI |
NPI | 1467662726 |
---|---|
Provider Name | Dr. Terri Lynn Stillwell |
First Address | Ann Arbor, MI 48108 |
Second Address | Ann Arbor, MI 48109-4259 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2007 |
Last Update Date | 13/09/2012 |