| Stacey Kallenbach, | |
|
12192 Corvair Dr, Sterling Heights, MI 48312-4026 | |
| (907) 440-6870 | |
| Not Available |
| Full Name | Stacey Kallenbach |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 12192 Corvair Dr, Sterling Heights, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235528712 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 4703114282 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Stacey Kallenbach, 12192 Corvair Dr, Sterling Heights, MI 48312-4026 Ph: (907) 440-6870 | Stacey Kallenbach, 12192 Corvair Dr, Sterling Heights, MI 48312-4026 Ph: (907) 440-6870 |
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Roman Novatchinski, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 13654 Brougham, Sterling Heights, MI 48312 Phone: 586-822-6827 | |
Shantique Dortch, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 39449 Della Rosa Dr, Sterling Heights, MI 48313 Phone: 313-870-8736 | |
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