Individual
KURT H STIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 NAVARRE PL, SOUTH BEND, IN 46601-1156
(574) 647-1650
(574) 647-1655
Mailing address
710 N NILES AVE, SOUTH BEND, IN 46617-1924
(574) 647-1610
(574) 237-6069
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
01029001A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000085117
ANTHEM BCBS
IN
01
—
000000195014
ANTHEM BCBS
IN
01
—
000000239723
ANTHEM BCBS
IN
05
—
100335380A
—
IN
Enumeration date
02/21/2006
Last updated
07/25/2016
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