Individual
MR. BENJAMIN ROBERT STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
4150 E BELTLINE AVE NE STE 3, GRAND RAPIDS, MI 49525-9316
(616) 447-9888
Mailing address
2370 FARM CT SE, GRAND RAPIDS, MI 49546-7932
(616) 644-5560
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
1035992
TX
363LP2300X
Primary Care Nurse Practitioner
Primary
4704301140
MI
Other
Enumeration date
11/25/2017
Last updated
04/30/2024
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