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Individual
STEPHEN MICHAEL FERNANDEZ
Active
Individual
STEPHEN MICHAEL FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G48005
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G480050
—
CA
01
—
00G480051
BLUE SHIELD
CA
05
—
00G480051
—
CA
Enumeration date
08/01/2006
Last updated
12/15/2008
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