Individual
TIMOTHY ALAN STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2333 BIDDLE AVE, WYANDOTTE, MI 48192-4668
(313) 916-2600
Mailing address
2333 BIDDLE AVE, DEPARTMENT OF EMERGENCY MEDICINE, WYANDOTTE, MI 48192
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301105595
MI
Other
Enumeration date
04/01/2014
Last updated
04/11/2018
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