Individual
STEPHEN VANBEEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
22101 MOROSS RD, DETROIT, MI 48236-2148
(513) 636-7339
Mailing address
22101 MOROSS RD, DETROIT, MI 48236-2148
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4301508937
MI
207R00000X
Internal Medicine Physician
4301114746
MI
390200000X
Student in an Organized Health Care Education/Training Program
4301114746
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
OH
Other
Enumeration date
05/06/2018
Last updated
12/22/2024
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