Individual
STEPHEN HARRY PAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2206 ROOSEVELT RD STE A, VALPARAISO, IN 46383
(219) 464-9507
(219) 477-4690
Mailing address
2022 KELLE DR, CHESTERTON, IN 46304-8708
(219) 364-3616
(219) 364-3610
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
01038315
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100358050A
—
IN
Enumeration date
02/01/2006
Last updated
09/14/2020
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