STACEY STEFANSKY DPM PLLC
NPI 1194964452
Clinic/Center - Podiatric in Waterford, MI

Active since February 10, 2009
2130 MARSHALL COURT, WATERFORD, MI 48329(248) 390-5730 Get Directions Write a Review

NPPES record last updated: July 23, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Stacey Stefansky Dpm Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STACEY STEFANSKY DPM PLLC (NPI 1194964452) is a healthcare organization registered as a podiatric in Waterford, Michigan and active in the NPI registry since February 2009. The organization lists Stacey Stefansky, Owner, as its authorized official.

NPPES Registry Identity

NPI1194964452
Entity TypeOrganization
Primary Taxonomy261QP1100X
Legal Business NameSTACEY STEFANSKY DPM PLLC
Location Address2130 MARSHALL COURTWaterford, MI 48329-4069
Mailing AddressPo Box 300965Drayton Plains, MI 48330-0965 · (248) 390-5730
Organization SubpartNo
Authorized OfficialStacey StefanskyOwner · (248) 390-5730
Enumeration DateFebruary 10, 2009
Last NPPES UpdateJuly 23, 2019
NPI 1194964452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · PodiatricAmbulatory Health Care Facilities
Taxonomy Code261QP1100X
License Licensed in MI · 5901002115
2130 MARSHALL COURT, Waterford, MI 48329

Other Identifiers 2

Other4856320100MI · Blue Cross Blue Shield
Medicaid1053399949MI

Accepted Insurance

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stacey Stefansky Dpm PLLC's NPI number?

The NPI number for Stacey Stefansky Dpm PLLC is 1194964452. It was assigned to this organization in the NPPES registry on February 10, 2009.

Where is Stacey Stefansky Dpm PLLC located?

Stacey Stefansky Dpm PLLC is located at 2130 Marshall Court, Waterford, MI 48329. The listed phone number is (248) 390-5730.

What is Stacey Stefansky Dpm PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Podiatric, with taxonomy code 261QP1100X.

What insurance does Stacey Stefansky Dpm PLLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Stacey Stefansky Dpm PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Stacey Stefansky Dpm PLLC was last updated on July 23, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.