Individual
STEPHAN L PRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
04-35024
KS
207X00000X
Orthopaedic Surgery Physician
MD28399
OR
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
0435024
KS
Other
Enumeration date
08/07/2008
Last updated
09/07/2022
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