Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Stefanie R Gibson, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1801240585

Stefanie R Gibson, DO is an Internal Medicine in Novi, Michigan. Graduated from Michigan State University College of Osteopathic Medicine in 2016, 10 years ago. Practices with Premier Therapy Centers, Inc, a 141-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
10
Trained at
Michigan State University College of Osteopathic Medicine
Licensed in
MI
In the registry since
2016
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

39450 W 12 Mile Rd
Novi, MI 48377-3600
Phone: (248) 344-0710
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 5101025153 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1801240585
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorYes
NPI enumeratedApril 19, 2016
Last updated in NPPESMarch 26, 2021
Certification dateMarch 26, 2021
Mailing address39450 W 12 Mile Rd, Novi, MI 48377-3600

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2016 (10 years in practice)
Group practice Premier Therapy Centers, Inc — 141 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Novi