Individual
DR. ERNEST STEVE DUPRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2229 MARY SHERMAN DR, SULLIVAN, IN 47882-7633
(812) 268-3318
(812) 268-4017
Mailing address
2229 MARY SHERMAN DR, SULLIVAN, IN 47882-7633
(812) 268-3318
(812) 268-4017
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01028949
IN
207QG0300X
Geriatric Medicine (Family Medicine) Physician
01028949
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100105420B
—
IN
05
—
200015680A
—
IN
Enumeration date
05/23/2005
Last updated
01/09/2008
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