Healthcare Provider Details

I. General information

NPI: 1164314597
Provider Name (Legal Business Name): EMILY MARIA STEPHENSON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/18/2025
Last Update Date: 07/18/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

339 WINDERMERE RD UNIVERSITY HOSPITAL - DIVISION OF INTERNAL MEDICINE
LONDON ON
N6A 5A5
CA

IV. Provider business mailing address

41 DONNA MAE CRESCENT
THORNHILL ON
L4J 1Z9
CA

V. Phone/Fax

Practice location:
  • Phone: 519-685-8500
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: