Individual
DR. ERIC C STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
601 WEST SECOND STREET, BLOOMINGTON, IN 47402-2317
(812) 336-6821
(419) 866-5453
Mailing address
5700 SOUTHWYCK BLVD, TOLEDO, OH 43614-1509
(800) 288-8325
(419) 866-5453
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
01054099A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
220031685
RAILROAD
—
Enumeration date
12/10/2005
Last updated
02/19/2015
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