Individual
DR. STEPHEN M NILSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
8100 SANDPIPER CIR STE 210, NOTTINGHAM, MD 21236-4992
(855) 527-7246
(866) 229-5063
Mailing address
28665 EARTHLITE RD, WYE MILLS, MD 21679-2024
(410) 827-7188
(410) 827-7076
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
DO33153
DC
207L00000X
Anesthesiology Physician
Primary
H0058012
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
699474101
—
MD
Enumeration date
12/17/2005
Last updated
06/24/2024
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