MEDICARE: STIRLING CLINIC, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1184714891
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STIRLING CLINIC, INC.

Provider Business Mailing Address
First Line	:	3725 KENTUCKY AVE
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46221-2755
Country	:	US
Telephone Number	:	317-856-2300
Fax Number	:	317-856-2491

Provider Business Practice Location Address
First Line	:	3725 KENTUCKY AVE
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46221-2755
Country	:	US
Telephone Number	:	317-856-2300
Fax Number	:	317-856-2491

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MR. GLENN L DIXON
Credential	:
Telephone Number	:	317-856-2307

Provider Enumeration Date	:	10/13/2006
Last Update Date	:	08/22/2020

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Directions to “STIRLING CLINIC, INC. ” Practice Location

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