Organization
GREGORY E STEPHENS DO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY E STEPHENS D.O. (PHYSICIAN)
(734) 479-7310
Entity
Organization
Contact information
Practice address
18174 MERIDIAN RD, GROSSE ILE, MI 48138-1088
(313) 282-5824
Mailing address
14600 KING RD, SUITE D, RIVERVIEW, MI 48193-7952
(734) 479-7310
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
5101010374
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0158223820
BLUE CROSS OF MICHIGAN
MI
05
—
4384248
—
MI
Enumeration date
03/19/2008
Last updated
01/03/2025
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