Search › Indiana › 207Q00000X
Peter Stephan, MD
NPI 1548266307 · on the registry since 2005
Practice
- Address
- 188 E Southway Blvd
Kokomo, IN 46902 - Phone
- (765) 453-9000
- Organisation at this address
- St Joseph Primary Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 8
Additional practice sites
- 712 W Main St, Greentown, IN
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 207Q00000X
207Q00000X - Licence states on file
- GA, FL, IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-08-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana