Stashefsky, Evan M.

Stashefsky, Evan M. is an individual health care provider with primary practice located at 27483 Dequindre Rd Suite 302, Madison Heights MI 48071-3491. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Stashefsky, Evan M. can be contacted via phone (248) 547-6603.

Contact Information

Primary practice address
27483 Dequindre Rd Suite 302 Madison Heights MI 48071-3491
Phone: (248) 547-6603
Fax: (248) 547-5696
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301082957 Michigan

Profile Details

NPI number 1699828632
LBN Legal business name Stashefsky, Evan M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2007
Last updated Nov 25th, 2019 - about 7 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 1699828632 NPPES
Michigan MEDICAID 1699828632
Michigan Other MI4989151

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