Provider Demographics
NPI:1689804353
Name:STEPHENS-HOYER, JENNIFER MABEL (MD)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:MABEL
Last Name:STEPHENS-HOYER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:2799 W GRAND BLVD
Mailing Address - Street 2:DEPARTMENT OF EMERGENCY MEDICINE, CFP 258
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48202-2608
Mailing Address - Country:US
Mailing Address - Phone:313-916-1553
Mailing Address - Fax:313-916-7437
Practice Address - Street 1:2799 W GRAND BLVD
Practice Address - Street 2:GRADUATE MEDICAL EDUCATION CFP-B
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48202-2608
Practice Address - Country:US
Practice Address - Phone:313-916-1553
Practice Address - Fax:313-916-7437
Is Sole Proprietor?:No
Enumeration Date:2009-07-16
Last Update Date:2009-07-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301094335207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine