Most Relevant Information
Provider Data
| NPI Number: | 1003282419 |
| Provider Name: | MARK STEPHENS |
| Entity Type: | Individual |
| Taxonomy Code: | 171100000X |
| Specialty: | Acupuncturist |
| License Number: | 25004465 |
Most Important Dates
| Enumeration Date: | 08/19/2015 |
| Last Updated: | 12/10/2021 |
Provider Practice Location
16250 NORTHLAND DR STE 223
SOUTHFIELD
MI
480755205
Practice Location Phone/Fax
| Phone: | 8452356618 |
| Fax: |
Provider Mailing Location
1 CHURCH ST
NEW PALTZ
NY
125611514
Provider Mailing Phone/Fax
| Phone: | 8452356618 |
| Fax: |