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Individual
STEPHEN J STEFANAC
Active
Individual
STEPHEN J STEFANAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2901012559
MI
1223G0001X
General Practice Dentistry
Primary
2901012559
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1958111680
BCBS OF MI MED SURGICAL
MI
05
—
2667823
—
OH
01
—
4121401
BCBS
TN
05
—
4613082
—
MI
05
—
4615102
—
MI
01
—
D125590
BCBS OF MI DENTAL
MI
Enumeration date
03/14/2007
Last updated
06/17/2008
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