Individual
DR. STEPHEN ANDREW TRAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5915 WEST STATE ROAD 46, ELLETTSVILLE, IN 47429
(812) 876-7330
(812) 876-7325
Mailing address
5300 W BROOKWOOD CT, BLOOMINGTON, IN 47404-9601
(812) 345-7117
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12010793A
IN
Other
Enumeration date
10/23/2006
Last updated
07/08/2007
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