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NPI Code Detail

MEDICARE: DR. SARAH CAMPBELL STIERMAN M.D.

MEDICARE: DR. SARAH CAMPBELL STIERMAN M.D.
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
1207N00000XDermatology Physician35093001OH

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2H002160OTHEROHMEDICARE PTAN

Other Identifiers

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

General Provider Information

NPI Number : 1649447731
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SARAH CAMPBELL STIERMAN M.D.
Provider Business Mailing Address
First Line : 12780 ROACHTON RD # 1
Second Line :
City : PERRYSBURG
State : OH
Zip : 43551-1350
Country : US
Telephone Number : 419-872-0777
Fax Number :
Provider Business Practice Location Address
First Line : 12780 ROACHTON RD # 1
Second Line :
City : PERRYSBURG
State : OH
Zip : 43551-1350
Country : US
Telephone Number : 419-872-0777
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/08/2008
Last Update Date : 08/07/2012

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