Provider Demographics
NPI:1023894060
Name:SETTO, STEPHANIE MARY
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:MARY
Last Name:SETTO
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42412 SILVERWOOD DR
Mailing Address - Street 2:
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48314-2940
Mailing Address - Country:US
Mailing Address - Phone:586-863-7705
Mailing Address - Fax:
Practice Address - Street 1:39242 DEQUINDRE RD STE 101
Practice Address - Street 2:
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48310-1764
Practice Address - Country:US
Practice Address - Phone:586-446-8060
Practice Address - Fax:586-446-8062
Is Sole Proprietor?:No
Enumeration Date:2023-09-06
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI5601011863TMP23363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant