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Individual
ANDREW CHRISTIAN STEVENS
Active
Individual
ANDREW CHRISTIAN STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
4301084023
MI
208D00000X
General Practice Physician
Primary
4301084023
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5192136
—
MI
01
—
AS084023
BCBS OF MICHIGAN
MI
01
—
P00423091
RAILROAD MEDICARE
MI
Enumeration date
05/04/2007
Last updated
04/28/2009
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