Individual
STEPHEN FERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1725 N 5TH ST, TERRE HAUTE, IN 47804-4010
(812) 242-3005
(812) 242-3054
Mailing address
221 S 6TH STREET, TERRE HAUTE, IN 47807-4214
(812) 242-3157
(812) 242-3861
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
01067686A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00892050
RAILROAD MEDICARE
IN
Enumeration date
05/18/2007
Last updated
08/21/2017
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