Individual
DR. STEPHEN JAMES HATCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10228 DUPONT CIRCLE DR E, FORT WAYNE, IN 46825-1611
(260) 490-2525
(260) 490-7254
Mailing address
10228 DUPONT CIRCLE DR E, FORT WAYNE, IN 46825-1611
(260) 490-2525
(260) 490-7254
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
01042223A
IN
367500000X
Certified Registered Nurse Anesthetist
Primary
01042223A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20005080R
—
IN
Enumeration date
02/09/2006
Last updated
09/11/2025
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