Stevens, Michael L

Stevens, Michael L is an individual health care provider with primary practice located at 1000 N Oak Ave , Marshfield WI 54449-5777. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is his primary health care specialty. Stevens, Michael L can be contacted via phone (715) 387-5634.

Contact Information

Primary practice address
1000 N Oak Ave Marshfield WI 54449-5777
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 15683 Wisconsin
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 15683 Wisconsin

Profile Details

NPI number 1134229891
LBN Legal business name Stevens, Michael L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2006
Last updated Nov 30th, 2009 - about 15 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 1134229891 NPPES
Wisconsin MEDICAID 31255200

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