Individual
GARY MICHAEL STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1910 SHAFFER ST, KALAMAZOO, MI 49048-1604
(269) 382-9820
Mailing address
126 EATON ST, BATTLE CREEK, MI 49017-5444
(269) 274-4496
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
4704307723
MI
Other
Enumeration date
04/20/2023
Last updated
04/20/2023
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