Individual
STEPHEN D DEFRIEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
501 S BALLENGER HWY, SUITE B, FLINT, MI 48532-3641
(810) 342-4800
Mailing address
501 S BALLENGER HWY, SUITE B, FLINT, MI 48532-3641
(810) 342-4800
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0102207752
VA
2085R0202X
Diagnostic Radiology Physician
Primary
5101014531
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
300B560780
BCBS
MI
05
—
4767650
—
MI
Enumeration date
06/12/2006
Last updated
08/08/2023
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