# DR. IAN LEVI STINES

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1952711665
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | 036.153047 | IL | — |
| 208600000X | Surgery Physician | 125-065649 | IL | — |
| 2086S0129X | Vascular Surgery Physician | TP992 | KY | Yes |

## Other

- **Enumeration date:** 05/02/2014
- **Last updated:** 08/19/2022