Individual
DR. STEPHEN W. RASMUSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1485 S. GRANT AVE., SUITE B, CRAWFORDSVILLE, IN 47933
(765) 362-0900
(765) 362-0901
Mailing address
814 S. EAGLES WAY, CRAWFORDSVILLE, IN 47933
(765) 364-0639
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
IN12008817
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
853111
UNITED CONCORDIA
PA
Enumeration date
05/03/2007
Last updated
07/08/2007
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