Doctor Name: | DR. STEFANIE SCHUPP CHRISTIAN |
NPI Number: | 1780826644 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 55860 |
Business Practice Address: | 660 Dover Center Rd Suite 2a Bay Village, OH - 441402370 |
Business Phone Number: | 2164067294 |
Business Fax Number: | |
Mailing Address: | 660 Dover Center Road, Suite 2a BAY VILLAGE |
State: | OH |
Postal Code: | 44140 |
Phone Number: | 2164067294 |
Fax Number: | |
NPI Enumeration Date: | 03/24/2009 |
NPI Last Update Date: | 03/24/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VG0400X |
License Number: | 55860 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Gynecology |
Taxonomy Definition: |