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General NPI Number Information
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NPI Number | 1346246337
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Entity Type | Individual
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Provider Name | JULIE M STEVENS D.O.
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Gender | Female
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Dates
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Enumeration Date | 06/23/2005
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 416 N MISSION
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City | MOUNT PLEASANT
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State | MI
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Zip | 48858
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Country | US
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Telephone | 989-773-3789
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Fax | 989-773-6677
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Provider Business Mailing Address
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Address Line | 9511 S CRAWFORD RD
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City | SHEPHERD
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State | MI
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Zip | 48883-8504
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Country | US
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Telephone | 989-828-5763
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | JS013404
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License Number State | MI
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