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Individual

ROBERT L. STEPHENSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
800 S ADAMS RD, SUITE 201, BIRMINGHAM, MI 48009-7005
(248) 644-8060
(248) 644-5081
Mailing address
800 S ADAMS RD, SUITE 201, BIRMINGHAM, MI 48009-7005
(248) 644-8060
(248) 644-5081

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
RS029828
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0F37296
BCBSM
MI
01
0F37296001
RAILROAD MEDICARE
05
1217433
MI
01
180F372960
BLUE CARE NETWORK
MI
01
381867275
PPOM
01
B45467
HAP
01
C4175
MCARE
Enumeration date
09/07/2005
Last updated
03/02/2010
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