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Organization
TOMMY S. STEVENS M.D., P.C.
Active
Organization
TOMMY S. STEVENS M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORRAINE EDELEN-STEVENS (OFFICE MANAGER)
(810) 742-2544
Entity
Organization
Contact information
Practice address
2298 S CENTER RD, BURTON, MI 48519-1166
(810) 742-2544
(810) 742-2566
Mailing address
2298 S CENTER RD, BURTON, MI 48519-1166
(810) 742-2544
(810) 742-2566
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
TS039213
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4328356
—
MI
Enumeration date
12/07/2009
Last updated
12/29/2009
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