# EVERGREEN CONSULTING PHYSICIANS PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134384365
- **Authorized official:** MS. LINDA JONESSTEPHENS DO (PRESIDENT)
- **Authorized official phone:** (248) 247-4438

## Contact information

- **Practice address:** 22780 COTTAGE DR, SUITE A, SOUTHFIELD, MI 48033-4313
- **Practice address phone:** (248) 247-4438
- **Mailing address:** 22780 COTTAGE DR, SUITE A, SOUTHFIELD, MI 48033-4313
- **Mailing address phone:** (248) 247-4438

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 5101014089 | MI | Yes |

## Other

- **Enumeration date:** 07/28/2008
- **Last updated:** 07/28/2008