person
Stephen Blackstone Edstrom, MD
Family Medicine Physician in Wright Patterson Afb, Ohio
NPI 1396942264

Stephen Blackstone Edstrom is a Family Medicine Physician based in Wright Patterson Afb, OH. Stephen Blackstone Edstrom practices in Wright Patterson Afb, OH and has the professional credentials of MD. The NPI Number for Stephen Blackstone Edstrom is 1396942264 and holds a License No. 01066091A (Ohio).

The current practice location address for Stephen Blackstone Edstrom is 4881 Sugar Maple Dr, Wright Patterson Afb, OH and can be reached out via phone at 937-257-0837. You can also correspond with Stephen Blackstone Edstrom through the mailing address at 4481 SUGAR MAPLE DR, WRIGHT PATTERSON AFB, OH - 45433-5536 (mailing address contact number: 937-257-0837).

Location: 4881 Sugar Maple Dr, Wright Patterson Afb, OH, 45433-5536
person
Provider Profile Details
NPI Number
1396942264
Provider Name
Stephen Blackstone Edstrom
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4881 Sugar Maple Dr, Wright Patterson Afb, OH, 45433-5536
Phone Number
937-257-0837
Fax Number
Provider Enumeration Date
07/02/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4881 Sugar Maple Dr
City
State
Zip
45433-5529
Phone Number
937-257-0837
Fax Number
person
Provider Business Mailing Address Details
Address
4881 Sugar Maple Dr
City
State
Zip
45433-5529
Phone Number
937-257-0837
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
License No.
01066091A (Indiana)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
01066091A (Indiana)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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