Individual
DR. PAUL PHILLIP STEPANCZUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1650 45TH AVE, MUNSTER, IN 46321-3962
(219) 836-9488
(219) 836-9497
Mailing address
1650 45TH AVE, MUNSTER, IN 46321-3962
(219) 836-9488
(219) 836-9497
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
07000758
IN
213ES0131X
Foot Surgery Podiatrist
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6002117465
BLUE CROSS BL SHIELD
IN
01
—
90000152
BLUE CROSS BL SHIELD
IL
Enumeration date
09/08/2006
Last updated
07/08/2007
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