Individual
STEPHANIE DETTERLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
201 E UNIVERSITY PKWY, 33RD ST. PROFESSIONAL BLDG, STE 405, BALTIMORE, MD 21218-2829
(410) 554-2284
(410) 554-2184
Mailing address
201 E UNIVERSITY PKWY, 33RD ST. PROFESSIONAL BLDG, STE 405, BALTIMORE, MD 21218-2829
(410) 554-2284
(410) 554-2184
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35089436
OH
207R00000X
Internal Medicine Physician
36113740
IL
207R00000X
Internal Medicine Physician
Primary
D67439
MD
208M00000X
Hospitalist Physician
036113740
IL
208M00000X
Hospitalist Physician
35089436
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200867020
—
IN
05
—
2745748
—
OH
05
—
36113740
—
IL
05
—
7100007510
—
KY
Enumeration date
02/15/2006
Last updated
11/21/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us