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Individual
THERESE JEAN STOKAN
Active
Individual
THERESE JEAN STOKAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34004207S
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000311896
ANTHEM
OH
01
—
0112540
UNITED HEALTHCARE
—
01
—
19557120300
BUREAU OF WORKERS COMP
OH
05
—
2453698
—
OH
01
—
311155352
OHIO HEALTH CHOICE
OH
01
—
311155352
EMERALD HEALTH
—
Enumeration date
09/12/2005
Last updated
05/06/2009
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