Organization
EVERGREEN CONSULTING PHYSICIANS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LINDA JONESSTEPHENS DO (PRESIDENT)
(248) 247-4438
Entity
Organization
Contact information
Practice address
22780 COTTAGE DR, SUITE A, SOUTHFIELD, MI 48033-4313
(248) 247-4438
Mailing address
22780 COTTAGE DR, SUITE A, SOUTHFIELD, MI 48033-4313
(248) 247-4438
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5101014089
MI
Other
Enumeration date
07/28/2008
Last updated
07/28/2008
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