Healthcare Provider Details

I. General information

NPI: 1508925678
Provider Name (Legal Business Name): JOHN M STERCHI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/06/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1124 WASHINGTON BLVD
NEWCASTLE WY
82701-2972
US

IV. Provider business mailing address

PO BOX 849
TERRY MT
59349-0849
US

V. Phone/Fax

Practice location:
  • Phone: 307-746-4491
  • Fax: 307-746-4579
Mailing address:
  • Phone: 406-486-5055
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number6792A
License Number StateWY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: