Individual
MARK STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
16250 NORTHLAND DR STE 223, SOUTHFIELD, MI 48075-5205
(845) 235-6618
Mailing address
1 CHURCH ST, NEW PALTZ, NY 12561-1514
(845) 235-6618
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
25004465
NY
Other
Enumeration date
08/19/2015
Last updated
12/10/2021
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