Individual
STEPHEN MICHAEL ENSELEIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3535 SOUTHERN BLVD, KETTERING, OH 45429-1221
(937) 395-8166
Mailing address
3131 NEWMARK DR STE 220, MIAMISBURG, OH 45342-5400
(937) 438-8910
(937) 436-4984
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
35087933
OH
207P00000X
Emergency Medicine Physician
Primary
35-087933
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000476045
ANTHEM BC/BS
OH
05
—
2662677
—
OH
Enumeration date
06/21/2006
Last updated
04/14/2026
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