Individual
ALAN L STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7901 S 12TH ST, SUITE 100, KALAMAZOO, MI 49024
(269) 372-3000
(269) 372-3500
Mailing address
7920 W JEFFERSON BLVD STE 200, FORT WAYNE, IN 46804-4166
(260) 490-7111
(260) 490-2286
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
01044904A
IN
208200000X
Plastic Surgery Physician
Primary
4301113439
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104366787
—
MI
05
—
200090260
—
IN
05
—
2068202
—
OH
Enumeration date
08/11/2005
Last updated
11/27/2023
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