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Individual
DR. MARK C STEWART
Active
Individual
DR. MARK C STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
MS043841
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
173591110
—
MI
Enumeration date
03/17/2006
Last updated
03/23/2021
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