Individual
DR. STEPHEN CHARLES MUSSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
25043 LORAIN RD, NORTH OLMSTED, OH 44070-2054
(440) 777-5358
(440) 777-5922
Mailing address
25043 LORAIN RD, NORTH OLMSTED, OH 44070-2054
(440) 777-5358
(440) 777-5922
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
36-002574
OH
213E00000X
Podiatrist
Primary
36002574M
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000287348
ANTHEM
OK
05
—
0752681
—
OH
01
—
4881560002
DME
OH
01
—
P00000271
RAILROAD
OH
Enumeration date
02/01/2006
Last updated
04/19/2018
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