Individual
MICHAEL L STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 N OAK AVE, MARSHFIELD, WI 54449-5777
(715) 387-5634
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5777
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
15683
WI
207V00000X
Obstetrics & Gynecology Physician
Primary
15683
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31255200
—
WI
Enumeration date
09/23/2006
Last updated
11/30/2009
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