Individual
STEPHANIE ANN DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207ZF0201X
Forensic Pathology Physician
Primary
D0082385
MD
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
MT196895
PA
390200000X
Student in an Organized Health Care Education/Training Program
MT196895
PA
Other
Enumeration date
04/23/2010
Last updated
05/08/2017
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