Individual provider · Type 1 NPI

Stacy Nicole Skaltsounis, PA-C

Medical Physician Assistant · Shelby Township, MI

NPI number 1245396977 Active

Practice location

50505 Schoenherr Rd, Suite 340
Shelby Township, MI 48315-3140

Fax (586) 731-8406

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X5601004001 (MI)

Medical Physician Assistant: Definition to come...

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About NPI 1245396977

Stacy Nicole Skaltsounis, PA-C's National Provider Identifier is 1245396977, issued on Dec 28, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Shelby Township, MI. The record was last updated on Jul 6, 2015.