Individual
NATALIE NAZARK STEFAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5500 AUTO CLUB DR, HENRY FORD HEALTH SYSTEM, DEARBORN, MI 48126-2683
(313) 425-4700
(313) 425-4700
Mailing address
5500 AUTO CLUB DR, HENRY FORD HEALTH SYSTEM, DEARBORN, MI 48126-2683
(313) 425-4700
(313) 425-4700
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301052279
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
191938310
—
MI
01
—
700H262280
BLUE CROSS-BLUE CROSS
—
01
—
NN052279
CHAMPUS, COMMERCIAL
MI
01
—
NN052279
COMMERCIAL-COMMERCIAL NUMBER
—
Enumeration date
01/04/2007
Last updated
03/22/2021
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