Healthcare Provider Details

I. General information

NPI: 1851329601
Provider Name (Legal Business Name): STEPHEN L HEMPEL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1234 NAPIER AVE
SAINT JOSEPH MI
49085-2112
US

IV. Provider business mailing address

1234 NAPIER AVE
SAINT JOSEPH MI
49085-2112
US

V. Phone/Fax

Practice location:
  • Phone: 269-982-4861
  • Fax: 269-985-4523
Mailing address:
  • Phone: 269-985-4632
  • Fax: 269-985-4535

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number4301046823
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: