Individual
CHRISTINE RENEE STEHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1701 NORTH SENATE BLVD, SUITE DG412, INDIANAPOLIS, IN 46202-1239
(317) 962-3886
(317) 963-5492
Mailing address
250 N SHADELAND AVE, STE 130 - PROVIDER ENROLLMENT, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01060979A
IN
207P00000X
Emergency Medicine Physician
125055620
IL
207P00000X
Emergency Medicine Physician
249860
MA
2086S0102X
Surgical Critical Care Physician
249860
MA
208D00000X
General Practice Physician
01060979A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201040050
—
IN
Enumeration date
02/11/2006
Last updated
07/23/2014
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