Individual
STEPHEN D MARKEWICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3190 E MERIDIAN PARK LOOP, WASILLA, AK 99654-7422
(907) 373-9460
Mailing address
3190 E MERIDIAN PARK LOOP, WASILLA, AK 99654-7422
(907) 373-9460
(907) 373-9461
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
11173
ND
207L00000X
Anesthesiology Physician
2008-01684
NC
207L00000X
Anesthesiology Physician
35-092694
OH
207LP3000X
Pediatric Anesthesiology Physician
11173
ND
208VP0000X
Pain Medicine Physician
11173
ND
208VP0000X
Pain Medicine Physician
Primary
175891
AK
208VP0014X
Interventional Pain Medicine Physician
11173
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1721935
—
AK
Enumeration date
04/13/2007
Last updated
12/17/2024
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