Individual
DR. MICHAEL L STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
91 CONSTITUTION BLVD, KUTZTOWN, PA 19530
(610) 683-5067
(610) 683-3823
Mailing address
91 CONSTITUTION BLVD, KUTZTOWN, PA 19530
(610) 683-5067
(610) 683-3823
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC003061L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014586150003
—
PA
Enumeration date
09/15/2006
Last updated
09/27/2011
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