Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 01044779A | IN |
N | 111NI0900X | Internist | 01044779A | IN |
N | 207RC0200X | Critical Care Medicine | 01044779A | IN |
Y | 207RP1001X | Pulmonary Disease | 01044779A | IN |
NPI | 1053376038 |
---|---|
Provider Name | Stephen F Wintermeyer |
First Address | Indianapolis, IN 46219-4959 |
Second Address | Indianapolis, IN 46202-2803 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/04/2006 |
Last Update Date | 26/02/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
200073240 | (05) | IN |
F43369 | (02) | IN |