Individual
DR. JAMES ALDEN STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901002712
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
410004219
RAILROAD MEDICARE
MI
01
—
900B565790
BLUE CROSS/BLUE SHIELD
MI
Enumeration date
10/25/2005
Last updated
05/02/2008
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