Individual
DR. STEPHEN FLOYD DEUTSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2600 GREENBUSH ST, LAFAYETTE, IN 47904-2477
(765) 448-8000
(765) 448-8544
Mailing address
PO BOX 5545, LAFAYETTE, IN 47903-5545
(765) 448-8000
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
01069255A
IN
207RG0100X
Gastroenterology Physician
036059098
IL
207RG0100X
Gastroenterology Physician
35134-020
WI
207RG0100X
Gastroenterology Physician
35134020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000708301
ANTHEM PROVIDER NUMBER
IN
05
—
201013970
—
IN
05
—
35371400
—
WI
Enumeration date
07/12/2006
Last updated
07/20/2011
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