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Organization
GREAT LAKES SLEEP MEDICINE INSTITUTE PLC
Active
Organization
GREAT LAKES SLEEP MEDICINE INSTITUTE PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YEVGENIY STEFADU MD (OWNER)
(586) 268-0100
Entity
Organization
Contact information
Practice address
3058 METROPOLITAN PARKWAY, SUITE 108, STERLING HEIGHTS, MI 48310
(586) 268-0100
(586) 268-5818
Mailing address
5215 CROWFOOT, C O Y STEFADU MD, TROY, MI 48310
(586) 268-0100
(586) 268-5818
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OP22380
MEDICARE STUDY
—
Enumeration date
03/12/2008
Last updated
03/12/2008
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