Individual
STEPHEN MCKINNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5450 FORT ST, TRENTON, MI 48183-4601
(734) 671-3800
Mailing address
5450 FORT ST, TRENTON, MI 48183-4601
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5151014463
MI
Other
Enumeration date
04/28/2020
Last updated
04/28/2020
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