Individual
DR. MICHAEL SHANE STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-0001
(409) 772-9505
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
31755
MN
207P00000X
Emergency Medicine Physician
Primary
V4986
TX
2083A0100X
Aerospace Medicine Physician
72611
MN
Other
Enumeration date
04/12/2021
Last updated
06/16/2025
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