Individual
STEPHANIE JOY COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1135 PROFESSIONAL DR, GOSHEN, IN 46526-3800
(574) 364-4600
(574) 364-4610
Mailing address
200 HIGH PARK AVE, GOSHEN, IN 46526-4810
(574) 364-2888
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
02009259A
IN
208600000X
Surgery Physician
34-011401
OH
208600000X
Surgery Physician
Primary
5101018273
MI
Other
Enumeration date
07/15/2009
Last updated
08/04/2026
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