Provider Demographics
NPI:1184704181
Name:BELL, STEPHEN R (DO)
Entity type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:R
Last Name:BELL
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:7825 N DIXIE HIGHWAY
Mailing Address - Street 2:
Mailing Address - City:NEWPORT
Mailing Address - State:MI
Mailing Address - Zip Code:48166-9776
Mailing Address - Country:US
Mailing Address - Phone:734-586-0888
Mailing Address - Fax:734-586-0889
Practice Address - Street 1:7825 NORTH DIXIE HIGHWAY
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:MI
Practice Address - Zip Code:48166-9776
Practice Address - Country:US
Practice Address - Phone:734-586-0888
Practice Address - Fax:734-586-0889
Is Sole Proprietor?:No
Enumeration Date:2006-10-16
Last Update Date:2010-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101015256207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4945672Medicaid
MI9456469OtherPHCS
MII63448OtherHAP
MI1155810604OtherBCBSM
MI9456469OtherPHCS
MII63448OtherHAP