Individual
KODIE WILLIAM STEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10 MUDDY CREEK FORKS RD STE 3, BROGUE, PA 17309-9497
(717) 812-5020
(717) 461-7144
Mailing address
601 MEMORY LN, YORK, PA 17402-2231
(717) 851-1405
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD482462
PA
208M00000X
Hospitalist Physician
Primary
MD482462
PA
Other
Enumeration date
05/17/2020
Last updated
11/04/2024
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