Individual
STEPHAN A BART SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10403 WETHERBURN RD, WOODSTOCK, MD 21163
(352) 586-8547
Mailing address
10403 WETHERBURN RD, WOODSTOCK, MD 21163
(352) 586-8547
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0064938
MD
207Q00000X
Family Medicine Physician
ME64842
FL
Other
Enumeration date
12/20/2005
Last updated
06/19/2012
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