Individual
SUSAN M. STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
180 KENNEDY MEMORIAL DRIVE, SUITE 303, WATERVILLE, ME 04901
(207) 872-5952
(207) 873-2952
Mailing address
174 KENNEDY MEMORIAL DRIVE, WATERVILLE, ME 04901
(207) 861-3338
(207) 861-3281
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1216
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000937
ANTHEM BC BS
ME
01
—
010474554
MEDNET
ME
01
—
1044339
AETNA
ME
05
—
281090099
—
ME
01
—
E16132
HARVARD PILGRIM
—
01
—
M56781
CIGNA
ME
Enumeration date
08/07/2006
Last updated
05/12/2009
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