Individual
STEFAN DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
601 S MAIN ST # 65, ELKHART, IN 46516-3203
(574) 333-7479
Mailing address
601 S MAIN ST # 65, ELKHART, IN 46516-3203
(574) 333-7479
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
IN
Other
Enumeration date
09/16/2025
Last updated
09/16/2025
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