Individual
DR. MICHAEL E. STEVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
21790
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1720708-01
CSHCN
TX
05
—
1720708-01
—
TX
01
—
8R3609
BLUE SHIELD
TX
01
—
P00215041
RR/MEDICARE
TX
Enumeration date
04/04/2006
Last updated
06/17/2015
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