Healthcare Provider Details

I. General information

NPI: 1639582851
Provider Name (Legal Business Name): MEAGHAN COLLEEN HOWE-STEPHENSON DPM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MEAGHAN COLLEEN STOINSKI DPM

II. Dates (important events)

Enumeration Date: 06/05/2014
Last Update Date: 09/17/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22245 PONTIAC TRAIL
SOUTH LYON MI
48178
US

IV. Provider business mailing address

22245 PONTIAC TRAIL
SOUTH LYON MI
48178
US

V. Phone/Fax

Practice location:
  • Phone: 248-486-8886
  • Fax: 248-486-8887
Mailing address:
  • Phone: 248-486-8886
  • Fax: 248-486-8887

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number5901002522
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: