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Individual

JOHN M STEVELINCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
524 BYRON RD, HOWELL, MI 48843-1410
(517) 548-3100
(517) 548-4594
Mailing address
524 BYRON RD, HOWELL, MI 48843-1410
(517) 548-3100
(517) 548-4594

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
5901001979
MI
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
5901001979
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0D70553
BCBSM GROUP
MI
01
4854713560
BCBSM INDIVIDUAL PIN
MI
05
4996279
MI
Enumeration date
06/23/2006
Last updated
06/15/2021
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