Individual
ROSALIND STEVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
188 MARINA POINT DR, SANDUSKY, OH 44870-6518
(123) 456-7890
Mailing address
188 MARINA POINT DR, SANDUSKY, OH 44870-6518
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4301060883
MI
Other
Enumeration date
04/28/2006
Last updated
07/08/2007
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