Individual
STEPHAN PHIPPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3601 W 13 MILE RD, ROYAL OAK, MI 48073-6712
(248) 898-5000
Mailing address
809 BEACONSFIELD AVE APT 1S, GROSSE POINTE PARK, MI 48230-1795
(810) 705-1368
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704289819
MI
Other
Enumeration date
08/27/2018
Last updated
05/14/2025
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