Individual
CALVIN STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
18100 OAKWOOD BLVD, SUITE 100, DEARBORN, MI 48124-4085
(313) 253-2000
Mailing address
39426 COUNTRY LN, NOVI, MI 48375-4590
(248) 735-8044
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704078722
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4838538
—
MI
Enumeration date
06/05/2006
Last updated
07/09/2007
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