MR. Michael Dwayne Stanley

NPI #1760709786 in Shawnee, Oklahoma

Provider Information

NPI Number
1760709786
Entity Type
Individual
Name
MR. Michael Dwayne Stanley
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Case Manager/Care Coordinator
Enumeration Date
Apr 29, 2010
Last Updated
Sep 30, 2010

Practice Location

Address
634 W DEWEY ST
ZIP Code
74801-5706
Phone
(405) 275-2179

Specialties & Taxonomy Codes

Specialty
Case Manager/Care Coordinator

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