NPI
Stacy Lou Carlisle
NPI 1417757485
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Type
- Individual
- Enumeration date
- 2025-03-18
- Last updated
- 2025-03-18
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Specialties
Licenses
- License MI
- 4704260661
Location
- Practice location
- 5049 Harrison St
- City
- Wayne MI
- Postal code
- 48184-2220
- Phone
- (313) 971-2319
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Wayne, MI. 868 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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