Individual
STEPHEN MICHAEL SITTNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1301 PRIMACY PKWY, MEMPHIS, TN 38119
(901) 866-8812
Mailing address
1407 UNION AVE STE 700, MEMPHIS, TN 38104-3641
(901) 866-8622
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2267
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03170251
—
MS
05
—
1524121
—
TN
Enumeration date
04/09/2008
Last updated
02/01/2019
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