Individual
CRAIG STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3577 W 13 MILE RD, BEAUMONT RADIATION ONCOLOGY RO, ROYAL OAK, MI 48073-6710
(248) 577-3511
(248) 577-3526
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
4301104311
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1902812415
—
MI
01
—
700F349850
BCBSM
MI
Enumeration date
08/01/2006
Last updated
10/23/2020
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