Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0106X | Orthopaedic Hand Surgeon | SW 028988 | MI |
NPI | 1245261007 |
---|---|
Provider Name | Dr. Stephen Edward Werner |
First Address | Rochester Hills, MI 48307-3183 |
Second Address | Rochester Hills, MI 48307-3183 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/07/2006 |
Last Update Date | 07/03/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2006334421 | BCBS OF MICHIGAN (01) | MI |
4034204 | AETNA (01) | MI |
B43727 | (02) |