Organization
GREAT LAKES SLEEP MEDICINE INSTITUTE PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YEVGENIY STEFADU MD (OWNER)
(586) 268-0100
Entity
Organization
Contact information
Practice address
3058 METROPOLITAN PARKWAY, SUITE 108, STERLING HEIGHTS, MI 48310
(586) 268-0100
(586) 268-5818
Mailing address
5215 CROWFOOT, C O Y STEFADU MD, TROY, MI 48310
(586) 268-0100
(586) 268-5818
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OP22380
MEDICARE STUDY
—
Enumeration date
03/12/2008
Last updated
03/12/2008
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