Jacquelyn Logiudice Stephens, MD | |
3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | |
(248) 551-0845 | |
Not Available |
Full Name | Jacquelyn Logiudice Stephens |
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Gender | Female |
Speciality | Obstetrics & Gynecology |
Location | 3601 W 13 Mile Rd, Royal Oak, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1750940326 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207VX0201X | Obstetrics & Gynecology - Gynecologic Oncology | 4301509142 (Michigan) | Secondary |
207V00000X | Obstetrics & Gynecology | 4351045093 (Michigan) | Primary |
Entity Name | University Physician Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447299797 PECOS PAC ID: 8628087681 Enrollment ID: O20060419000518 |
Mailing Address | Practice Location Address |
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Jacquelyn Logiudice Stephens, MD 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 Ph: () - | Jacquelyn Logiudice Stephens, MD 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 Ph: (248) 551-0845 |
Alexandra Rogers, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 3535 W 13 Mile Rd Ste 140, Royal Oak, MI 48073 Phone: 248-551-3000 | |
Dr. Prabhleen Kaur Aneja, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-551-0845 | |
Theodoros Vlachos, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3535 W 13 Mile Rd Ste 329, Royal Oak, MI 48073 Phone: 248-551-1399 | |
Sonia Sajja, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-898-5000 | |
Stephanie Yuen Ting Wong, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 3535 W 13 Mile Rd Ste 140, Royal Oak, MI 48073 Phone: 248-551-3000 | |
Paula M Fishbaugh, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 326 N Main St, Royal Oak, MI 48067 Phone: 248-584-7600 | |
Dr. Michael A Genord, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1103 N Main St, Suite E, Royal Oak, MI 48067 Phone: 248-399-7675 |