Individual
MR. MARK ANDREW STEFANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
32925 GROESBECK HIGHWAY, FRASER, MI 48026
(586) 293-8888
(586) 296-0726
Mailing address
32925 GROESBECK HIGHWAY, FRASER, MI 48026
(586) 293-8888
(586) 296-0726
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901003690
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110955
EYEMED
—
05
—
3404800
—
MI
01
—
4351
DAVIS VISION
—
01
—
58801
DAVIS VISION
—
01
—
900E06513
BCBS
—
Enumeration date
04/10/2007
Last updated
05/31/2024
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