Individual
MR. CHARLES DONALD STEGMAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30434 MOUNT VERNON RD, PRINCESS ANNE, MD 21853-1400
(410) 651-0350
(410) 651-4857
Mailing address
30434 MOUNT VERNON RD, PRINCESS ANNE, MD 21853-1400
(410) 651-0350
(410) 651-4857
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0025219
MD
207QG0300X
Geriatric Medicine (Family Medicine) Physician
D0025219
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010000842
RAILROAD MEDICARE
MD
01
—
367003
MAMSI
MD
01
—
53032103
BLUE SHIELD
MD
01
—
74480
COVENTRY OF DELEWARE
—
05
—
786991600
—
MD
01
—
H8236
FIRST HEALTH
—
01
—
T8890001
BLUE SHIELD CHOICE
MD
Enumeration date
08/23/2005
Last updated
09/18/2012
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