Search › Michigan › 207RC0000X
Johnathan Stephan, MD
NPI 1558942268 · on the registry since 2021
Practice
- Address
- 22250 Providence Dr Ste 705
Southfield, MI 48075 - Phone
- (248) 552-9858
- Organisation at this address
- Aad, Pllc
Tara Scott, Pc
Jian Zu Md Pllc
Tara Scott Dpm Pc
Kevin Nolan Md PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 273
Additional practice sites
- 2799 W Grand Blvd, Detroit, MI
Registry record
- Primary taxonomy
- 207RC0000X
207RC0000X
- Also registered as
- 390200000X
- Licence states on file
- OH, MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-07-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan