Individual
STEPHEN JASINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
441 N WABASH, MARION, IN 46952-2600
(765) 660-9000
Mailing address
330 N WABASH, STE G20, MARION, IN 46952-2612
(765) 660-7616
(765) 651-7313
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01036167
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001227029
ANTHEM
IN
05
—
100438260
—
IN
01
—
930026570
RAIL ROAD
IN
Enumeration date
07/14/2006
Last updated
05/30/2019
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