Individual
STEPHEN GLEN MARKHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1200 N MAIN ST, ADRIAN, MI 49221-1759
(517) 263-1800
Mailing address
51350 FORD RD, CANTON, MI 48187-4638
(734) 560-6765
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704326909
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704326909
MI
Other
Enumeration date
02/05/2021
Last updated
06/04/2025
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