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Individual

STEVEN LEVIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
900 W CLAIREMONT AVE, EAU CLAIRE, WI 54701-6122
(715) 717-4121
Mailing address
4512 N SAGINAW RD, MIDLAND, MI 48640-2369
(612) 499-7274

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
53717
MN
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
018221
ME
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
MD.201353
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1033677
LA
05
434575299
ME
Enumeration date
12/16/2005
Last updated
11/15/2018
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