Individual
LARRY A STERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1685 CLEVELAND RD STE 102, WOOSTER, OH 44691-2335
(330) 263-8750
(330) 263-8752
Mailing address
3540 BURBANK RD # 127, WOOSTER, OH 44691-8539
(330) 465-4429
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
35054753S
OH
2086S0129X
Vascular Surgery Physician
Primary
35054753S
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000222078
ANTHEM BC/BS
—
05
—
0167055
—
OH
01
—
020052952
RAILROAD MEDICARE
—
01
—
020556806
WORKERS COMPENSATION
OH
01
—
020556806LS
SUMMACARE INC
—
05
—
L0167055
—
OH
Enumeration date
08/11/2005
Last updated
09/26/2024
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