Individual
STEPHANIE E. DUNKLE-BLATTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
01066021A
IN
208600000X
Surgery Physician
Primary
35.121953
OH
208600000X
Surgery Physician
40576
KY
2086S0129X
Vascular Surgery Physician
01066021A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101266510
—
PA
01
—
36000818
ASC MEDICAID GROUP
KY
01
—
37903705
MEDICAID LAB GROUP
KY
01
—
4000501
MEDICARE LAB GROUP
KY
05
—
7100020980
—
KY
01
—
ASC1019
ASC MEDICARE GROUP
KY
01
—
CB5773
RR MEDICARE GROUP
KY
01
—
P00397697
RR MEDICARE PIN
KY
Enumeration date
02/28/2006
Last updated
02/11/2025
Update your record
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