| Fred W. Stelson, M.d. Plc | |
|
559 Waymarket Dr Ann Arbor MI 48103-6621 | |
| (734) 277-2809 | |
| Not Available |
| Full Name | Fred W. Stelson, M.d. Plc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 559 Waymarket Dr, Ann Arbor, Michigan |
| Authorized Official Name and Position | Fred Woolley Stelson (CEO) |
| Authorized Official Contact | 7344960157 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fred W. Stelson, M.d. Plc 559 Waymarket Dr Ann Arbor MI 48103-6621 Ph: (734) 277-2809 | Fred W. Stelson, M.d. Plc 559 Waymarket Dr Ann Arbor MI 48103-6621 Ph: (734) 277-2809 |
| NPI Number | 1851114268 |
|---|---|
| Provider Enumeration Date | 11/04/2024 |
| Last Update Date | 03/21/2025 |
| Certification Date | 03/21/2025 |
| Medicare PECOS PAC ID | 8224555099 |
|---|---|
| Medicare Enrollment ID | O20250506000180 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851114268 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Fred Woolley Stelson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275718553 PECOS PAC ID: 3274525241 Enrollment ID: I20080419000028 |
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