William Stahly
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Manchester, MI
NPI 1801530357 · NPPES record last updated Apr 21, 2022
Key facts
- NPI
- 1801530357
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 17325 Ely Rd
Manchester, MI 48158-9646 - Phone
- (734) 680-5144
- NPI assigned
- Apr 21, 2022
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
17325 Ely Rd
Manchester, MI 48158-9646
Mailing address
17325 Ely Rd
Manchester, MI 48158-9646
Phone (734) 680-5144
Other providers in Manchester, MI
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- Erica Rush
- Debora Spring
- Margaret Anne Steeb
- Abby Sweeney
- Cheryal Tucker
- Kathleen Rosella Wahl
- Ariana Wakeman
All providers in Manchester, MI · Student in an Organized Health Care Education/Training Program in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.