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Individual

DR. CRAIG LOUIS STEPHENSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D C

Contact information

Practice address
21518 ELIZABETH ST, SAINT CLAIR SHORES, MI 48080-1804
(586) 775-3778
Mailing address
21518 ELIZABETH ST, SAINT CLAIR SHORES, MI 48080-1804
(586) 775-3778

Taxonomy

Speciality
Code
Description
License number
State
111NI0900X
Internist Chiropractor
Primary
2944
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
950F35373
BCBS
MI
Enumeration date
03/05/2007
Last updated
07/08/2007
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