Individual
STEPHEN CUPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
31235 FLORALVIEW DR N APT 205, FARMINGTON HILLS, MI 48331-5848
(248) 231-5476
Mailing address
31235 FLORALVIEW DR N APT 205, FARMINGTON HILLS, MI 48331-5848
(248) 231-5476
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5601007324
MI
363A00000X
Physician Assistant
5601007324
MI
Other
Enumeration date
05/06/2015
Last updated
02/22/2022
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