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Dr. Gregory E Stephens, DO
Otolaryngology/Facial Plastic Surgery Physician in Grosse Ile, Michigan
NPI 1962494526

Gregory E Stephens is a Otolaryngology/Facial Plastic Surgery Physician based in Grosse Ile, MI and is specialized in Otolaryngology/Facial Plastic Surgery. Gregory E Stephens practices in Grosse Ile, MI and has the professional credentials of DO. The NPI Number for Gregory E Stephens is 1962494526 and holds a License No. 5101010374 (Michigan).

The current practice location address for Gregory E Stephens is 18174 Meridian Rd, Grosse Ile, MI and can be reached out via phone at 313-282-5824 and via fax at 000-000-0000.

Location: 18174 Meridian Rd, Grosse Ile, MI, 48138-1088
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962494526
Provider Name
Gregory E Stephens
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
18174 Meridian Rd, Grosse Ile, MI, 48138-1088
Phone Number
313-282-5824
Fax Number
000-000-0000
Provider Enumeration Date
08/19/2005
Last Update Date
01/18/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
C5211 01 MI MCARE
0158223820 01 MI BLUE CROSS MICHIGAN
P85024 01 MI BLUE CARE NETWORK
3086232 05 MI
383461449 01 MI FEDERAL TAX ID
institution
Provider Business Practice Location Address Details
Address
18174 Meridian Rd
City
Grosse Ile
State
Michigan
Zip
48138-1088
Phone Number
313-282-5824
Fax Number
000-000-0000
person
Provider Business Mailing Address Details
Address
18174 Meridian Rd
City
Grosse Ile
State
Michigan
Zip
48138-1088
Phone Number
313-282-5824
Fax Number
000-000-0000
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Otolaryngology/Facial Plastic Surgery
Taxonomy
207YX0905X
License No.
5101010374 (Michigan)
Definition
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
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