Provider Demographics
NPI:1912132291
Name:LEVINE, STANLEY BURTON (DC)
Entity type:Individual
Prefix:
First Name:STANLEY
Middle Name:BURTON
Last Name:LEVINE
Suffix:
Gender:
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31390 NORTHWESTERN HWY
Mailing Address - Street 2:SUITE C.
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48334-2561
Mailing Address - Country:US
Mailing Address - Phone:248-855-2666
Mailing Address - Fax:248-855-6460
Practice Address - Street 1:31390 NORTHWESTERN HWY
Practice Address - Street 2:SUITE C.
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334-2561
Practice Address - Country:US
Practice Address - Phone:248-855-2666
Practice Address - Fax:248-855-6460
Is Sole Proprietor?:No
Enumeration Date:2009-05-15
Last Update Date:2025-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301002097111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor