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Individual

DR. MICHAEL WAYNE STEVENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3075 GOVERNORS PLACE BLVD, STE 110, DAYTON, OH 45409-1332
(937) 296-0015
(937) 296-0074
Mailing address
3075 GOVERNORS PLACE BLVD, STE 110, DAYTON, OH 45409-1332
(937) 296-0015
(937) 296-0074

Taxonomy

Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
35060576
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0381831
OH
Enumeration date
12/02/2005
Last updated
07/08/2007
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