Stacey Wray

NPI #1285087726 in Hazel Park, Michigan

Provider Information

NPI Number: 1285087726
Entity Type: Individual
Name: Stacey Wray
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Jul 20, 2016
Last Updated: Jul 20, 2016

Practice Location

Address: 149 W OTIS AVE
City: Hazel Park
State: Michigan
ZIP Code: 48030-3208
Phone: (248) 632-8477

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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