Individual
STEPHANIE LYNN NITZSCHKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3400 SPRUCE STREET, 2 DULLES, PHILADELPHIA, PA 19104
(215) 662-7320
Mailing address
3400 SPRUCE STREET, 5 MALONEY, PHILADELPHIA, PA 19104
(215) 662-7323
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD445754
PA
2086S0102X
Surgical Critical Care Physician
MD445754
PA
Other
Enumeration date
05/07/2008
Last updated
06/06/2013
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