Healthcare Provider Details

I. General information

NPI: 1184704181
Provider Name (Legal Business Name): STEPHEN R BELL D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/16/2006
Last Update Date: 01/25/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7825 NORTH DIXIE HIGHWAY
NEWPORT MI
48166-9776
US

IV. Provider business mailing address

7825 N DIXIE HIGHWAY
NEWPORT MI
48166-9776
US

V. Phone/Fax

Practice location:
  • Phone: 734-586-0888
  • Fax: 734-586-0889
Mailing address:
  • Phone: 734-586-0888
  • Fax: 734-586-0889

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number5101015256
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: