Individual
JEFFREY DANE STIMAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9880 ANGIES WAY, SUITE 250, LOUISVILLE, KY 40241-2851
(502) 394-6341
(502) 394-6340
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6879
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
45991
KY
207X00000X
Orthopaedic Surgery Physician
Primary
ME165184
FL
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
ME165184
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100141660
—
KY
Enumeration date
05/08/2007
Last updated
11/18/2024
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