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1790039386
STEFAN HANNEVIG
BALTIMORE, MD
NPI
1790039386
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
Enumeration Date
2012-11-03
Last Update Date
2012-11-03
Business Address
-- STEFAN HANNEVIG PA-C
9000 FRANKLIN SQUARE DR
BALTIMORE, MD 21237-3901
Phone number: 443-777-7000
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Mailing Address
-- STEFAN HANNEVIG PA-C
644 SHREWSBURY COMMONS AVE
SHREWSBURY, PA 17361-1617
Phone number: 304-893-2295
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