Individual
STEPHAN M STOCKBERGER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9998 CROSSPOINT BLVD STE 200, INDIANAPOLIS, IN 46256-3307
(317) 806-8285
(317) 489-6750
Mailing address
9998 CROSSPOINT BLVD STE 200, INDIANAPOLIS, IN 46256-3307
(317) 806-8285
(317) 579-2130
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01039809A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000091487
ANTHEM
IN
05
—
100354020
—
IN
Enumeration date
06/16/2006
Last updated
06/15/2023
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