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Individual
MR. STEVEN GLENN ABSHAGEN
Active
Individual
MR. STEVEN GLENN ABSHAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601004208
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100C914640
BLUE CROSS BLUE SHIELD
MI
01
—
1053912070
BLUE CROSS BLUE SHIELD
MI
01
—
1417961137
BCBSM - BRONSON
MI
01
—
1649322678
NPI
MI
05
—
1649322678
—
MI
01
—
1851569958
BLUE CROSS BLUE SHIELD
MI
01
—
261859452
BLUE CROSS BLUE SHIELD
MI
01
—
5601004208
PHYSICIAN ASSISTANTS LICE
MI
01
—
MA1036931
CONTRULLED SUBSTANCE
—
Enumeration date
01/18/2007
Last updated
02/20/2018
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