Individual
ANNEMARIE STEPANENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
22201 MOROSS RD, SUITE 270, DETROIT, MI 48236-2169
(313) 343-3481
(313) 343-7937
Mailing address
22201 MOROSS RD, SUITE 270, DETROIT, MI 48236-2169
(313) 343-3481
(313) 343-7937
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704165221
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0H217410
BLUE CROSS GROUP
MI
Enumeration date
07/14/2006
Last updated
05/14/2008
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