Individual
DR. MARK KEVIN STINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
163 BUTNER DR, HOPE, IN 47246-9447
(812) 546-6000
(812) 546-0368
Mailing address
5926 CRAWFORDSVILLE RD B, SPEEDWAY, IN 46224-3722
(317) 653-2730
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01030274A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100330510
—
IN
Enumeration date
06/16/2005
Last updated
02/22/2019
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