Provider Demographics
NPI:1518035468
Name:WARD, STEPHEN M (MD)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:M
Last Name:WARD
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1781 HIGHLAND AVE
Mailing Address - Street 2:STE 106
Mailing Address - City:CHESHIRE
Mailing Address - State:CT
Mailing Address - Zip Code:06410-1254
Mailing Address - Country:US
Mailing Address - Phone:989-731-7708
Mailing Address - Fax:989-731-7929
Practice Address - Street 1:829 N CENTER AVE
Practice Address - Street 2:SUITE 140
Practice Address - City:GAYLORD
Practice Address - State:MI
Practice Address - Zip Code:49735-1595
Practice Address - Country:US
Practice Address - Phone:989-731-7870
Practice Address - Fax:989-731-7837
Is Sole Proprietor?:No
Enumeration Date:2006-11-30
Last Update Date:2021-10-26
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Provider Licenses
StateLicense IDTaxonomies
ME018163207R00000X
CT068687207R00000X
MI4301102441207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME001365202Medicare PIN
ME001365201Medicare PIN