Individual
STEPHEN PAUL DEWEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13914 SOUTHEASTERN PKWY STE 108, FISHERS, IN 46037-7124
(317) 415-9110
Mailing address
13914 SOUTHEASTERN PKWY STE 108, FISHERS, IN 46037-7124
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01041560A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100418450
—
IN
Enumeration date
11/22/2005
Last updated
06/17/2022
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