Individual
MICHAEL STENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
150 W WASHINGTON ST, SHELBYVILLE, IN 46176-1236
(317) 392-3211
Mailing address
1402 E COUNTY LINE RD, INDIANAPOLIS, IN 46227-0963
(317) 887-7000
(260) 407-8004
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
01060089
IN
207L00000X
Anesthesiology Physician
Primary
01060089A
IN
207P00000X
Emergency Medicine Physician
01060089
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200526250
—
IN
Enumeration date
07/09/2006
Last updated
12/04/2023
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