Individual
DR. EVAN RUSSELL STERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 265-5911
(352) 265-5606
Mailing address
PO BOX 918025, ORLANDO, FL 32891-8025
(352) 265-5911
(352) 265-5606
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME96023
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
275595500
—
FL
Enumeration date
07/10/2006
Last updated
07/14/2011
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