Provider Demographics
NPI:1841385051
Name:STANG, NANCY DUQUETTE (OD)
Entity Type:Individual
Prefix:DR
First Name:NANCY
Middle Name:DUQUETTE
Last Name:STANG
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:622 N 3RD ST
Mailing Address - Street 2:
Mailing Address - City:MARQUETTE
Mailing Address - State:MI
Mailing Address - Zip Code:49855-3520
Mailing Address - Country:US
Mailing Address - Phone:906-226-8800
Mailing Address - Fax:906-226-8802
Practice Address - Street 1:622 N 3RD ST
Practice Address - Street 2:
Practice Address - City:MARQUETTE
Practice Address - State:MI
Practice Address - Zip Code:49855
Practice Address - Country:US
Practice Address - Phone:906-226-8800
Practice Address - Fax:906-226-8802
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2019-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4901004235152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist