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Individual

MR. MICHAEL STEVENSON

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
AUD

Contact information

Practice address
630 N CHELAN AVE, SUITE B 7, WENATCHEE, WA 98801-6622
(509) 663-2157
Mailing address
5000 CHESHIRE LN N, PLYMOUTH, MN 55446-3706
(888) 333-9152

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
LD00002030
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8337891
WA
Enumeration date
05/31/2006
Last updated
07/09/2007
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