Individual
STEPHANIE MARIE POUCH
Active
Individual
STEPHANIE MARIE POUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D., M.S.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
C6454
IL
207RI0200X
Infectious Disease Physician
Primary
077760
GA
207RI0200X
Infectious Disease Physician
35123764
OH
Other
Enumeration date
06/29/2008
Last updated
04/14/2020
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