MEDICARE: DR. MARY F STUEVER D.O

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	208600000X	Surgery Physician	OP61561881	WA
2	2086S0102X	Surgical Critical Care Physician	34012207	OH
3	2086S0102X	Surgical Critical Care Physician	OP61561881	WA
4	2086S0127X	Trauma Surgery Physician	34012207	OH
5	208600000X	Surgery Physician	34012207	OH

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	:	1285629675
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARY F STUEVER D.O

Provider Business Mailing Address
First Line	:	234 GOODMAN ST
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45219-2364
Country	:	US
Telephone Number	:	513-475-8787
Fax Number	:	513-874-4579

Provider Business Practice Location Address
First Line	:	UNIT 33100
Second Line	:
City	:	APO
State	:	AE
Zip	:	09180-3100
Country	:	US
Telephone Number	:	317-590-7171
Fax Number	:

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

Provider Enumeration Date	:	09/13/2005
Last Update Date	:	08/07/2024

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Directions to “ DR. MARY F STUEVER D.O” Practice Location

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