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NPI Code Detail

MEDICARE: JOSHUA ALEX STEWART

MEDICARE:   JOSHUA ALEX STEWART
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1213ES0103XFoot & Ankle Surgery Podiatrist5901400506MI

General Provider Information

NPI Number : 1740749548
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSHUA ALEX STEWART
Provider Business Mailing Address
First Line : 28460 SOUTHFIELD RD
Second Line :
City : LATHRUP VILLAGE
State : MI
Zip : 48076-2820
Country : US
Telephone Number : 248-353-0096
Fax Number : 248-809-6255
Provider Business Practice Location Address
First Line : 28460 SOUTHFIELD RD
Second Line :
City : LATHRUP VILLAGE
State : MI
Zip : 48076-2820
Country : US
Telephone Number : 248-353-0096
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2019
Last Update Date : 07/01/2024

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Directions to “ JOSHUA ALEX STEWART ” Practice Location

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