Individual
DR. EDWARD JOHN STEHOUWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1675 LEAHY STREET, SUITE 300, MUSKEGON, MI 49442-5543
(231) 728-5567
(231) 725-7134
Mailing address
1675 LEAHY STREET, SUITE 300, MUSKEGON, MI 49442-5543
(231) 728-5567
(231) 725-7134
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
38469
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1892664
—
MI
01
—
2806100372
BLUE CROSS BLUE SHIELD OF
MI
01
—
2806100372
BLUE CARE NETWORK
—
Enumeration date
11/28/2006
Last updated
03/17/2008
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