Provider Demographics
NPI:1376842567
Name:STEVENS, ANNE MICHAL (MD)
Entity Type:Individual
Prefix:DR
First Name:ANNE
Middle Name:MICHAL
Last Name:STEVENS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:MICHAL
Other - Middle Name:
Other - Last Name:STEVENS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:801 NORTH 29TH ST.
Mailing Address - Street 2:PO BOX 37000
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59107-7000
Mailing Address - Country:US
Mailing Address - Phone:406-238-5449
Mailing Address - Fax:406-238-2152
Practice Address - Street 1:801 NORTH 29TH ST.
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59101
Practice Address - Country:US
Practice Address - Phone:406-238-5449
Practice Address - Fax:406-238-2152
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-28
Last Update Date:2020-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTMED-PHYS-LIC-49814207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease