Individual
DR. STEPHEN E JEFFERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1535 GULL RD, STE 130, KALAMAZOO, MI 49048
(269) 345-1161
(269) 345-8076
Mailing address
1535 GULL RD, STE 130, KALAMAZOO, MI 49048
(269) 345-1161
(269) 345-8076
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
SJ040708
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1310080
—
MI
Enumeration date
03/14/2006
Last updated
07/08/2007
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