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Individual

STEPHANIE M WARE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD, PHD

Contact information

Practice address
705 RILEY HOSPITAL DR, INDIANAPOLIS, IN 46202-5109
(317) 944-3966
(317) 278-0936
Mailing address
PO BOX 1026, INDIANAPOLIS, IN 46206-1026
(317) 777-6435
(317) 777-6644

Taxonomy

Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
01073526
IN
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
01073526A
IN
208000000X
Pediatrics Physician
01073526A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200507510
IN
Enumeration date
07/06/2006
Last updated
02/01/2024
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