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Individual
MICHAEL FRANCIS STEVENS
Active
Individual
MICHAEL FRANCIS STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT CERT MDT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
17927
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10764015
CAQH
—
01
—
1093828295
TRICARE
—
01
—
214882
JOHNS HOPKINS
—
01
—
3512475000
IBC AMERIHEALTH
—
01
—
5070-0101
GHMSI
MD
01
—
88760511
BC MARYLAND
MD
Enumeration date
08/15/2006
Last updated
12/10/2012
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