# YEVGENIY G STEFADU

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1316913270
- **Gender:** Man
- **Credential:** M.D., PH.D

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 4301074792 | MI | — |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | 4301074792 | MI | Yes |

## Other

- **Enumeration date:** 02/28/2006
- **Last updated:** 11/18/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1316913270 | — | MI |