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Individual
DR. VERNON ROY STEVENSON
Active
Individual
DR. VERNON ROY STEVENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301061583
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0046188
CHAMPUS
MI
01
—
1103810141
BCBS
MI
05
—
4517003
—
MI
01
—
P00049831
RAILROAD MEDICARE
MI
Enumeration date
10/06/2006
Last updated
01/21/2013
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