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DR. STEPHEN MICHAEL NENNINGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
NMD

Contact information

Practice address
1187 COAST VILLAGE RD, MONTECITO, CA 93108-2737
(631) 235-2111
(631) 540-2345
Mailing address
109 RANDALL AVE, NPI MGT, PORT JEFFERSON, NY 11777-1638
(631) 235-2111
(631) 551-0204

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
05-869
AZ
208D00000X
General Practice Physician
Primary
369
CA

Other

Enumeration date
09/22/2009
Last updated
12/19/2023
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