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NPI Code Detail

MEDICARE: MARYANNE M STOEPPLER DO

MEDICARE:   MARYANNE M STOEPPLER  DO
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
1207L00000XAnesthesiology Physician0275SC

General Provider Information

NPI Number : 1962482067
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARYANNE M STOEPPLER DO
Provider Business Mailing Address
First Line : 513 W HARBOUR CREST DR
Second Line :
City : CHESNEE
State : SC
Zip : 29323
Country : US
Telephone Number : 864-703-4104
Fax Number :
Provider Business Practice Location Address
First Line : 513 W HARBOUR CREST DR
Second Line :
City : CHESNEE
State : SC
Zip : 29323
Country : US
Telephone Number : 864-948-5817
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/17/2006
Last Update Date : 07/08/2007

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Directions to “ MARYANNE M STOEPPLER DO” Practice Location

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