Provider Demographics
NPI:1417426420
Name:STOLER, ROCHELLE LYNN
Entity Type:Individual
Prefix:MS
First Name:ROCHELLE
Middle Name:LYNN
Last Name:STOLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3893 S MICHAEL RD
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48103-9345
Mailing Address - Country:US
Mailing Address - Phone:734-665-7303
Mailing Address - Fax:734-369-2419
Practice Address - Street 1:929 E SUMMERFIELD GLEN CIR
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48103-9162
Practice Address - Country:US
Practice Address - Phone:734-645-3877
Practice Address - Fax:734-369-2419
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-19
Last Update Date:2018-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker