Individual
DR. STEPHEN W STANSBURY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 MALLARD CREEK RD STE 320, LOUISVILLE, KY 40207-5136
(502) 855-6125
(502) 394-1972
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
49688
OH
Other
Enumeration date
06/06/2006
Last updated
12/22/2021
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