Individual
DR. STEPHEN FRANCES MITROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
720 E CEDAR STREET SUITE 160, SOUTH BEND, IN 46617
(574) 232-7064
(574) 232-7136
Mailing address
720 E CEDAR STREET SUITE 160, SOUTH BEND, IN 46617
(574) 232-7064
(574) 232-7136
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
01030913
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000085608
ANTHEM
IN
05
—
100223830A
—
IN
Enumeration date
10/04/2006
Last updated
03/08/2010
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