Most Relevant Information
Provider Data
| NPI Number: | 1003380445 |
| Provider Name: | STEPHANIE KAY MAES RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163WI0500X |
| Specialty: | Registered Nurse |
| License Number: | 4704239772 |
Most Important Dates
| Enumeration Date: | 01/18/2019 |
| Last Updated: | 01/18/2019 |
Provider Practice Location
6480 TECHNOLOGY AVE STE A
KALAMAZOO
MI
490098126
Practice Location Phone/Fax
| Phone: | 8773850535 |
| Fax: |
Provider Mailing Location
6739 APPLE BLOSSOM LN
KALAMAZOO
MI
490097488
Provider Mailing Phone/Fax
| Phone: | 2695997516 |
| Fax: |