Individual
DR. STEPHANIE LYNN BREWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
306 BELLEAIRE AVE, SPRINGFIELD, OH 45503-4831
(193) 720-6178
Mailing address
306 BELLEAIRE AVE, SPRINGFIELD, OH 45503-4831
(937) 504-1617
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
67447484336
OH
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
Primary
67447484336
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
56649800
—
OH
Enumeration date
05/08/2023
Last updated
01/13/2024
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