Individual
LARRY WARREN STEPHENSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
HARPER PROFESSIONAL BLDG STE 615, 4160 JOHN R, DETROIT, MI 48201
(313) 745-4195
Mailing address
3800 WOODWARD AVE, SUITE 702, DETROIT, MI 48201-2061
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
4301053910
MI
Other
Enumeration date
06/02/2006
Last updated
07/08/2007
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