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General NPI Number Information
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NPI Number | 1790135986
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Entity Type | Individual
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Provider Name | STEVEN ISTEPHAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/17/2016
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Last Update Date | 07/16/2025
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Provider Practice Location Address
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Address Line | 419 S TELEGRAPH RD
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City | MONROE
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State | MI
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Zip | 48161
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Country | US
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Telephone | 734-241-1100
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Fax |
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Provider Business Mailing Address
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Address Line | 100 MADISON AVE # S38805
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City | TOLEDO
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State | OH
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Zip | 43604-1516
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Country | US
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Telephone | 675-851-9645
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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 | 4351030610
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 4301110115
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License Number State | MI
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