Dr. Nicholas Alexander Stephanoff, MD
Dr. Nicholas Alexander Stephanoff, MD is a Family Practice in Grand Rapids, Michigan. Graduated from Wayne State University School of Medicine in 2011, 15 years ago. Practices with Spectrum Health Primary Care Partners, a 2,303-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan and New Mexico.
- Years since qualifying
- 15
- Trained at
- Wayne State University School of Medicine
- Licensed in
- MI, NM
- In the registry since
- 2011
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
426 Michigan St NEGrand Rapids, MI 49503-5609
Phone: (616) 267-7888
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 4301099542 (MI) |
|---|---|
| Family Medicine Physician | Taxonomy 207Q00000X · Licence MD2014-0512 (NM) |
Record details
| NPI number | 1033407689 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | July 18, 2011 |
| Last updated in NPPES | March 2, 2021 |
| Certification date | March 2, 2021 |
Medicare enrollment
| Medicare specialty | FAMILY PRACTICE |
|---|---|
| Medical school | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduated | 2011 (15 years in practice) |
| Group practice | Spectrum Health Primary Care Partners — 2303 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
| Practice locations | 3 on file with Medicare |
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