Individual
STEVANY L PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5300 ELLIOTT DR, YPSILANTI, MI 48197-8632
(734) 434-6262
(734) 728-2820
Mailing address
5300 ELLIOTT DR, YPSILANTI, MI 48197-8632
(734) 434-6262
(734) 712-2820
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
4301094749
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0810847
BCBS INDIVIDUAL
MI
01
—
0H14989
BCBS GROUP
MI
05
—
1275689895
—
MI
01
—
9719366
AETNA
MI
01
—
P00773688
MEDICARE RAILROAD PTAN
MI
Enumeration date
01/26/2007
Last updated
09/09/2025
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