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Individual

DR. EDWARD JOHN STEHOUWER

Active
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Individual

DR. EDWARD JOHN STEHOUWER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

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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