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Individual

MS. KATHLEEN ANN STEVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
1200 STEPHENSON HWY, TROY, MI 48083-1115
(248) 743-9400
Mailing address
530 W OAKRIDGE ST, FERNDALE, MI 48220-2725
(248) 345-4106

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704167377
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4660565
MI
Enumeration date
12/06/2010
Last updated
12/06/2010
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