Individual
THEODORE B STEM JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
562 SHEARER ST, GREENSBURG, PA 15601-2746
(724) 836-8303
(724) 836-8311
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
(336) 716-3202
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
2016-01133
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010404120001
—
PA
Enumeration date
08/09/2005
Last updated
09/08/2016
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