Individual
SHAWN GLENN STERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1 MEDICAL PARK, SUITE 702, WHEELING, WV 26003
(304) 243-8409
(304) 243-8804
Mailing address
1 MEDICAL PARK, SUITE 702, WHEELING, WV 26003
(304) 243-8409
(304) 243-8804
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
1768
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110214253
RAILROAD MEDICARE
—
05
—
1805687000
—
WV
05
—
2214197
—
OH
Enumeration date
08/03/2006
Last updated
06/10/2020
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