Individual
MARK C STEVENS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
107 W MAIN ST, MARQUETTE, MI 49855
(906) 225-3988
(906) 225-4707
Mailing address
107 W MAIN ST, MARQUETTE, MI 49855
(906) 225-3988
(906) 225-4707
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MS047917
MI
Other
Enumeration date
06/13/2005
Last updated
07/08/2007
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