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Individual

SUSAN L. STEFFY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2231 CAREW ST, FORT WAYNE, IN 46805-4713
(260) 373-7765
(260) 373-7760
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01041631A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000264512
ANTHEM
IL
01
00001426252 07
UNITED HEALTHCARE
01
10623
PHYSICIANS HEALTH PLAN
IN
05
200027920
IN
01
3937240010
MEDICARE DMEPOS
IN
01
4676263
AETNA
Enumeration date
12/29/2005
Last updated
04/14/2025
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