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Individual

JEROME STURM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1900 DON WICKHAM DR, SUITE 110, CLERMONT, FL 34711-1979
(352) 241-7275
(352) 241-7281
Mailing address
1900 DON WICKHAM DR, SUITE 110, CLERMONT, FL 34711-1979
(352) 241-7275
(352) 241-7281

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
7662
NH
207V00000X
Obstetrics & Gynecology Physician
Primary
ME105369
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0102575Y0NH01
ANTHEM
NH
05
80009396
NH
Enumeration date
02/20/2006
Last updated
02/01/2012
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