Individual
DR. MATTHEW JAMES STEPHENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
420 E SUPERIOR ST, CHICAGO, IL 60611-4494
(929) 430-5150
Mailing address
1335 SEVIER AVE, MENLO PARK, CA 94025-1511
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
30036
SC
Other
Enumeration date
03/13/2023
Last updated
03/13/2023
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