Individual
MICHAEL PETER STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1300 THORNTON ST, FREDERICKSBURG, VA 22401-4654
(540) 371-3115
(540) 372-9860
Mailing address
1300 THORNTON ST, FREDERICKSBURG, VA 22401-4654
(540) 371-3115
(540) 372-9860
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
0101027541
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
54 1090968
UNITED HEALTHCARE
VA
01
—
54 1090968 01
SOUTHERN HEALTH
VA
Enumeration date
12/13/2005
Last updated
07/19/2010
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