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Individual
JOHN STEDMAN
Active
Individual
JOHN STEDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
839
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002000
ANTHEM
ME
05
—
155860099
—
ME
01
—
27205
MARTINS POINT HEALTHCARE
—
01
—
767587
TUFTS
—
01
—
D93041
HARVARD PILGRIM HEALTHCAR
—
01
—
M3330
CIGNA
—
Enumeration date
01/15/2007
Last updated
11/24/2010
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