Individual
GARY D. STEBELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2750 E BELTLINE AVE NE, GRAND RAPIDS, MI 49525-8614
(616) 447-5870
(616) 391-7733
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301407210
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0984252
HEALTHPLUS COMMERCIAL
MI
01
—
1004341
MCLAREN HEALTH PLAN
MI
01
—
1102900551
BCBSM
MI
01
—
200000005890
PHP COMMERCIAL
MI
05
—
3414128-10
—
MI
Enumeration date
07/03/2006
Last updated
07/21/2014
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