Individual
MR. GEORGE C STEPHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPT
Contact information
Practice address
47824 AGNEW DR, SHELBY TOWNSHIP, MI 48315-5043
(248) 396-3569
Mailing address
47824 AGNEW DR, SHELBY TOWNSHIP, MI 48315-5043
(248) 396-3569
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501011002
MI
Other
Enumeration date
09/26/2006
Last updated
04/26/2021
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