MICHAEL WAYNE STEVENS

PEORIA, IL
NPI1700249026
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2080P0203X Pediatrics, Pediatric Critical Care Medicine
(Licence: IL  036.163090)
Additional Taxonomies207R00000X Internal Medicine
(Licence: IL  125068180)
2080P0203X Pediatrics, Pediatric Critical Care Medicine
(Licence: MI  4301501740)
Enumeration Date2016-04-04
Last Update Date2023-07-05
Business Address
Dr. MICHAEL WAYNE STEVENS MD
530 NE GLEN OAK AVE
PEORIA, IL 61637-5243
Phone number: 093-655-2000
Mailing Address
Dr. MICHAEL WAYNE STEVENS MD
1 ILLINI DR
PEORIA, IL 61605-2576
Phone number: 309-655-4746