Individual
DR. GEORGE CAJETAN STEPANIC JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
112 INDEPENDENCE WAY STE 150, CLYDE, OH 43410-9812
(419) 547-2810
(419) 547-1301
Mailing address
PO BOX 378, SANDUSKY, OH 44871-0378
(419) 609-1112
(419) 609-1123
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
34006552
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000340454
BC/BS
OH
05
—
0309526
—
OH
01
—
396665572005
ANTHEM
OH
Enumeration date
08/23/2005
Last updated
09/21/2018
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