Individual
CONISHIA JEWEL STEWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
6245 INKSTER RD, GARDEN CITY, MI 48135-4001
(734) 458-4486
Mailing address
6245 INKSTER RD, GARDEN CITY, MI 48135-4001
(734) 458-4486
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5101023484
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5101023484
STATE OF MICHIGAN
MI
Enumeration date
06/23/2017
Last updated
07/21/2022
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