MEDICARE: DR. ERIC STEVEN STOVER DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0202X	Diagnostic Radiology Physician	5101015292	MI
2	2083A0100X	Aerospace Medicine Physician	5101015292	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1194787085
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ERIC STEVEN STOVER DO

Provider Business Mailing Address
First Line	:	PO BOX 18998
Second Line	:
City	:	BELFAST
State	:	ME
Zip	:	04915-4084
Country	:	US
Telephone Number	:	469-803-3000
Fax Number	:

Provider Business Practice Location Address
First Line	:	4675 HILL ST, CASS CITY, MI 48726
Second Line	:
City	:	CASS CITY
State	:	MI
Zip	:	48762
Country	:	US
Telephone Number	:	989-872-2121
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/05/2006
Last Update Date	:	06/11/2026

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