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NPI Code Detail

MEDICARE: DR. STEPHEN T HOUSE MD

MEDICARE: DR. STEPHEN T HOUSE 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
1207Q00000XFamily Medicine Physician35034342OH

General Provider Information

NPI Number : 1700979234
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEPHEN T HOUSE MD
Provider Business Mailing Address
First Line : PO BOX 1239
Second Line :
City : TROY
State : MI
Zip : 48099-1239
Country : US
Telephone Number : 248-824-6600
Fax Number : 248-324-1477
Provider Business Practice Location Address
First Line : 3033 KETTERING BLVD
Second Line : SUITE 100
City : MORAINE
State : OH
Zip : 45439-1962
Country : US
Telephone Number : 937-293-2133
Fax Number : 937-293-2161
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2006
Last Update Date : 12/11/2013

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Directions to “ DR. STEPHEN T HOUSE MD” Practice Location

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