Individual
DR. HEIDI M STELTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3650 N ALPINE RD, ROCKFORD, IL 61114-4806
(815) 561-1562
Mailing address
3650 N ALPINE RD, ROCKFORD, IL 61114-4806
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036100372
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036100372
—
IL
01
—
P00331719
METRAHEALTH RR
IL
Enumeration date
05/10/2006
Last updated
07/31/2008
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