MEDICARE: CHRISTINE RENEE STEHMAN MD

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	207P00000X	Emergency Medicine Physician	125055620	IL
2	207P00000X	Emergency Medicine Physician	249860	MA
3	207P00000X	Emergency Medicine Physician	01060979A	IN
4	2086S0102X	Surgical Critical Care Physician	249860	MA
5	208D00000X	General Practice Physician	01060979A	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1063485746
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINE RENEE STEHMAN MD

Provider Business Mailing Address
First Line	:	250 N SHADELAND AVE
Second Line	:	STE 130 - PROVIDER ENROLLMENT
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46219-4959
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1701 NORTH SENATE BLVD
Second Line	:	SUITE DG412
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46202-1239
Country	:	US
Telephone Number	:	317-962-3886
Fax Number	:	317-963-5492

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/11/2006
Last Update Date	:	07/23/2014

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