Provider Demographics
NPI:1417534603
Name:STONE, SAVANNAH J (MIDWIFE)
Entity Type:Individual
Prefix:
First Name:SAVANNAH
Middle Name:J
Last Name:STONE
Suffix:
Gender:F
Credentials:MIDWIFE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:557 HAGUE ST
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48202-2124
Mailing Address - Country:US
Mailing Address - Phone:615-417-4872
Mailing Address - Fax:
Practice Address - Street 1:28250 FRANKLIN RD
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48034-1659
Practice Address - Country:US
Practice Address - Phone:248-792-3322
Practice Address - Fax:248-306-9966
Is Sole Proprietor?:No
Enumeration Date:2021-03-25
Last Update Date:2021-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife