Organization
STEPHEN MUSSER DPM, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN C MUSSER DPM (PRESIDENT)
(440) 777-5358
Entity
Organization
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
Primary
36-002574
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0652482
MEDICARE GROUP
OH
05
—
0752681
—
OH
01
—
3645278A11
ANTHEM EAST
OH
01
—
P00000271
RAILROAD
OH
Enumeration date
11/14/2006
Last updated
01/11/2013
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