Individual
STEPHEN R CLINGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
750 N BROADWAY, PERU, IN 46970-1027
(260) 569-2120
(260) 569-2121
Mailing address
2330 S DIXON RD, KOKOMO, IN 46902-6434
(765) 455-5400
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01070531A
IN
207Q00000X
Family Medicine Physician
036-101503
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036101503
—
IL
Enumeration date
09/07/2006
Last updated
08/05/2025
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