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Individual
DR. MICHAEL E. STEVENSON
Active
Individual
DR. MICHAEL E. STEVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
21790
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1720708-01
CSHCN
TX
05
—
1720708-01
—
TX
01
—
8R3609
BLUE SHIELD
TX
01
—
P00215041
RR/MEDICARE
TX
Enumeration date
04/04/2006
Last updated
06/17/2015
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