Individual
JOHN STEDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
250 ANDERSON ST, PORTLAND, ME 04101-2545
(207) 775-5671
(207) 871-1243
Mailing address
250 ANDERSON ST, PORTLAND, ME 04101-2545
(207) 775-5671
(207) 871-1243
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
839
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002000
ANTHEM
ME
05
—
155860099
—
ME
01
—
27205
MARTINS POINT HEALTHCARE
—
01
—
767587
TUFTS
—
01
—
D93041
HARVARD PILGRIM HEALTHCAR
—
01
—
M3330
CIGNA
—
Enumeration date
01/15/2007
Last updated
11/24/2010
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