Individual
JENNIFER SUE STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
415 W RUSS RD, GREENVILLE, OH 45331-2457
(937) 548-1244
(937) 548-8898
Mailing address
415 W RUSS RD, GREENVILLE, OH 45331-2457
(937) 548-1244
(937) 548-8898
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
36002834
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0156709
—
OH
Enumeration date
03/16/2006
Last updated
02/20/2008
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