Individual
DR. IAN LEVI STINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
825 2ND AVE STE B1, BOWLING GREEN, KY 42101-1790
(270) 796-3330
(270) 796-3338
Mailing address
PO BOX 2697, BOWLING GREEN, KY 42102-7697
(270) 745-1100
(270) 745-1156
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
036.153047
IL
208600000X
Surgery Physician
125-065649
IL
2086S0129X
Vascular Surgery Physician
Primary
TP992
KY
Other
Enumeration date
05/02/2014
Last updated
08/19/2022
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