Healthcare Provider Details

I. General information

NPI: 1407946379
Provider Name (Legal Business Name): MARK E STEMPIHAR, M.D., P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/13/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

E6112 E BLUFFVIEW RD SUITE 102
IRONWOOD MI
49938-9367
US

IV. Provider business mailing address

E6112 E BLUFFVIEW RD SUITE 102
IRONWOOD MI
49938-9367
US

V. Phone/Fax

Practice location:
  • Phone: 906-932-1436
  • Fax:
Mailing address:
  • Phone: 906-932-1436
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number43010042817
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number4901003062
License Number StateMI

VIII. Authorized Official

Name: MRS. PAMELA BRETALL
Title or Position: BUSINESS ADMINISTRATOR
Credential:
Phone: 906-932-1436