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General NPI Number Information
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NPI Number | 1336715960
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Entity Type | Individual
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Provider Name | STEPHEN J JOE MD
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Gender | Male
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Dates
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Enumeration Date | 06/03/2021
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Last Update Date | 06/23/2025
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Provider Practice Location Address
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Address Line | DETROIT MEDICAL CENTER GME OFFICE 4201 ST ANTOINE
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City | DETROIT
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State | MI
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Zip | 48201
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Country | US
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Telephone | 313-745-5146
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Fax |
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Provider Business Mailing Address
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Address Line | 31551 W STONEWOOD CT
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City | FARMINGTON HILLS
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State | MI
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Zip | 48334-2547
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Country | US
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Telephone | 248-763-6313
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 4301514071
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License Number State | MI
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