Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Stacy Suzanne Bull, MD

Individual provider Sports Medicine (Family Medicine) Physician · NPI 1619071115

Dr. Stacy Suzanne Bull, MD is a Sports Medicine (Family Medicine) Physician in East Lansing, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

463 E Circle Dr
East Lansing, MI 48824-7500
Phone: (517) 884-6502
Fax: (517) 355-9265
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X · Licence 4301070974 (MI)

Record details

NPI number1619071115
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 13, 2006
Last updated in NPPESSeptember 7, 2018

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