Individual
DR. STEPHEN DINSMOOR NIGHTINGALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5838 W BRICK RD STE 106, SOUTH BEND, IN 46628-8420
(574) 247-1911
Mailing address
5838 W BRICK RD STE 106, SOUTH BEND, IN 46628-8420
(574) 247-1911
(574) 247-1912
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01074832A
IN
207R00000X
Internal Medicine Physician
036-059866
IL
207R00000X
Internal Medicine Physician
D15904
MD
207R00000X
Internal Medicine Physician
H3129
TX
Other
Enumeration date
06/25/2007
Last updated
03/17/2018
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