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Individual

DR. MICHAEL FREDERICK STEWART

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
34062
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00456189A
GA
01
202303
BCBS
01
334396
WELLCARE
GA
Enumeration date
01/28/2006
Last updated
02/25/2016
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