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Individual

DR. STEPHEN R. VIJAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
35.057904
OH
208800000X
Urology Physician
Primary
ME166208
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0446574
RAILROAD MEDICARE
OH
05
0903562
OH
Enumeration date
07/17/2006
Last updated
03/11/2026
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