Individual
DR. TIMOTHY TRACEY STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 MCKINLEY PARK DR, MARION, OH 43302-6399
(260) 492-3727
Mailing address
9436 ARUNDEL RUN, FORT WAYNE, IN 46835-9115
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
322939
NY
207P00000X
Emergency Medicine Physician
Primary
35.143986
OH
207Q00000X
Family Medicine Physician
P10277
NY
Other
Enumeration date
05/17/2018
Last updated
07/07/2023
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