Individual
DR. JEANNINE MARIE STEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7960 N WICKHAM RD, SUITE 105, MELBOURNE, FL 32940
(321) 428-4545
(321) 421-7898
Mailing address
8057 SPYGLASS HILL RD, SUITE 102, MELBOURNE, FL 32940-8565
(321) 428-4545
(321) 421-7898
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
ME88079
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
280413100
—
FL
Enumeration date
04/17/2006
Last updated
02/14/2020
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