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Organization
VPA PC
Active
Organization
VPA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY STEVENS DO (OWNER)
(488) 248-6600
Entity
Organization
Contact information
Practice address
3081 COMMERCE DR STE 100, FORT GRATIOT, MI 48059-3868
(810) 364-5050
(810) 364-5688
Mailing address
PO BOX 639295 DEPT 93394, CINCINNATI, OH 45263-9295
(248) 434-6169
(855) 618-6655
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
700B510850
BCBS GROUP #
MI
01
—
700F374320
BLUE CROSS BLUE SHIELD
MI
01
—
CA1704
RR MEDICARE
MI
Enumeration date
08/17/2006
Last updated
01/24/2025
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