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MRS. MARY BRUCE STALLARD NP
NPI 1376081737
Nurse Practitioner - Family in Birmingham, MI

Active since February 06, 2017
1027 CLARK ST, BIRMINGHAM, MI 48009(704) 880-4054 Get Directions Write a Review

NPPES record last updated: February 6, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Mary Bruce Stallard Np NPPES

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

MRS. MARY BRUCE STALLARD NP (NPI 1376081737) is an individual family provider in Birmingham, Michigan, licensed in Michigan (4704298881) and active in the NPI registry since February 2017.

NPPES Registry Identity

NPI1376081737
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. MARY BRUCE STALLARDCredential: NP
Location Address1027 CLARK STBirmingham, MI 48009-3630
Mailing Address1027 Clark StBirmingham, MI 48009-3630 · (704) 880-4054
Phone(704) 880-4054
Sole ProprietorNo
Enumeration DateFebruary 6, 2017
✔ NPI 1376081737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MI · 4704298881
1027 CLARK ST, Birmingham, MI 48009
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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 Mary Bruce Stallard's NPI number?

The NPI number for Mary Bruce Stallard is 1376081737. It was assigned to this individual provider in the NPPES registry on February 6, 2017.

Where is Mary Bruce Stallard located?

Mary Bruce Stallard practices at 1027 Clark St, Birmingham, MI 48009. The listed phone number is (704) 880-4054.

What is Mary Bruce Stallard's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Mary Bruce Stallard was last updated on February 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.