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Individual

DR. STEVEN OWEN PODOLSKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1201 SOUTH DR, SUITE 220, MT PLEASANT, MI 48858-3256
(989) 773-3411
(989) 775-3187
Mailing address
1201 SOUTH DR, SUITE 220, MT PLEASANT, MI 48858-3256
(989) 773-3411
(989) 775-3187

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
SP064843
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
104353850
MI
01
160C71016
BCBS GROUP#
MI
Enumeration date
07/06/2006
Last updated
06/17/2010
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