Individual
STEPHEN LEE WINSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2060 EAST PARIS AVE SE STE 200, GRAND RAPIDS, MI 49546-6113
(616) 285-1377
(616) 285-1154
Mailing address
5555 GLENWOOD HILLS PKWY SE STE 2, GRAND RAPIDS, MI 49512-2091
(616) 940-2662
(616) 940-1965
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
4301052549
MI
208VP0014X
Interventional Pain Medicine Physician
Primary
4301052549
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050059838
RAILROAD MEDICARE
—
01
—
175881
US DEPT OF LABOR
—
01
—
24278
HEALTH PLAN OF MICHIGAN
—
01
—
3240684
CIGNA
—
01
—
4467217
AETNA
—
05
—
4532369-10
—
MI
05
—
4552960-10
—
MI
05
—
4593079-10
—
MI
01
—
504646
PREFERRED CHOICES
—
05
—
5211643-10
—
MI
01
—
550410620
BCBSM
MI
01
—
7000027111
PRIORITY HEALTH
—
Enumeration date
04/21/2006
Last updated
05/10/2021
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