Individual
MICHAEL LEE STEVELEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1101 MICHIGAN AVE, LOGANSPORT, IN 46947-1528
(574) 722-2663
(574) 753-1729
Mailing address
1101 MICHIGAN AVE, LOGANSPORT, IN 46947-1528
(574) 722-2663
(574) 753-1729
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10001746A
IN
363AM0700X
Medical Physician Assistant
085-003732
IL
Other
Enumeration date
10/26/2009
Last updated
09/21/2020
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