Individual
DR. MICHAEL SHANE STEVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MD
Contact information
Practice address
1401 STRATFORD RD SE, DECATUR, AL 35601-6022
(256) 355-1242
(256) 355-1259
Mailing address
1401 STRATFORD RD SE, DECATUR, AL 35601-6022
(256) 355-1242
(256) 355-1259
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
5063
AL
Other
Enumeration date
06/22/2006
Last updated
10/21/2009
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