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Individual
MICHAEL STEVENS
Active
Individual
MICHAEL STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
289757-1
NY
207R00000X
Internal Medicine Physician
62054
CT
207R00000X
Internal Medicine Physician
A150464
CA
208M00000X
Hospitalist Physician
62055
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/02/2014
Last updated
11/06/2018
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