Individual
DR. STEPHAN EDWIN PEPPLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7950 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4140
(260) 435-7341
Mailing address
7950 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4140
(260) 435-7141
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
01067241A
IN
2080N0001X
Neonatal-Perinatal Medicine Physician
40152
KY
Other
Enumeration date
01/17/2006
Last updated
04/05/2013
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