Individual
JORDAN N STEMER - MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
70 W 94TH PL, CROWN POINT, IN 46307
(219) 662-8822
(219) 662-8833
Mailing address
70 W 94TH PL, CROWN POINT, IN 46307-1710
(219) 662-8822
(219) 662-8833
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
99043669
IN
363AS0400X
Surgical Physician Assistant
99043669
IN
Other
Enumeration date
08/23/2010
Last updated
02/24/2021
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