Mendelson, Stephen D

Mendelson, Stephen D is an individual health care provider with primary practice located at 11900 E 12 Mile Rd Suite 110, Warren MI 48093-3400. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Mendelson, Stephen D can be contacted via phone (586) 582-7070.

Contact Information

Primary practice address
11900 E 12 Mile Rd Suite 110 Warren MI 48093-3400
Phone: (586) 582-7070
Fax: (586) 582-7066
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 4301072970 Michigan

Profile Details

NPI number 1790775427
LBN Legal business name Mendelson, Stephen D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2005
Last updated Oct 22nd, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790775427 NPPES
Michigan Other 200E011770 BCBS GROUP NUMBER
Michigan MEDICAID 4504640 BCBS GROUP NUMBER

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