Individual
STEPHAN M ZENTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9795 E 116TH ST, FISHERS, IN 46037-2822
(317) 913-8100
Mailing address
9795 E 116TH ST, FISHERS, IN 46037-2822
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01036195A
IN
207Q00000X
Family Medicine Physician
Primary
291967
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000316645
ANTHEM BLUECROSS/BLUESHIE
—
05
—
200306400
—
IN
01
—
92638
GEISINGER HEALTH PLAN
—
Enumeration date
10/05/2005
Last updated
09/22/2022
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