Individual
ANDREW CHRISTIAN STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
580 W COLLEGE AVENUE, MARQUETTE, MI 49855
(906) 225-7414
(906) 225-3031
Mailing address
4602 DEPT, CAROL STREAM, IL 60122-0021
(906) 225-4821
(906) 225-4537
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
4301084023
MI
208D00000X
General Practice Physician
Primary
4301084023
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5192136
—
MI
01
—
AS084023
BCBS OF MICHIGAN
MI
01
—
P00423091
RAILROAD MEDICARE
MI
Enumeration date
05/04/2007
Last updated
04/28/2009
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