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Stephen V Headley, DO
Family Medicine Physician in Portage, Indiana
NPI 1679663603

Stephen V Headley is a Family Medicine Physician based in Detroit, IN. Stephen V Headley practices in Portage, IN and has the professional credentials of DO. The NPI Number for Stephen V Headley is 1679663603 and holds a License No. 036105186 (Indiana).

The current practice location address for Stephen V Headley is 3283 Willowcreek Rd, Portage, IN and can be reached out via phone at 219-764-8439 and via fax at 219-764-8463.

Location: 3283 Willowcreek Rd, Portage, IN, 48278-1076
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679663603
Provider Name
Stephen V Headley
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
3283 Willowcreek Rd, Portage, IN, 48278-1076
Phone Number
219-764-8439
Fax Number
219-764-8463
Provider Enumeration Date
10/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036105186 05 IL
institution
Provider Business Practice Location Address Details
Address
3283 Willowcreek Rd
City
Portage
State
Indiana
Zip
46368-5054
Phone Number
219-764-8439
Fax Number
219-764-8463
person
Provider Business Mailing Address Details
Address
3283 Willowcreek Rd
City
Portage
State
Indiana
Zip
46368-5054
Phone Number
219-764-8439
Fax Number
219-764-8463
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
036105186 (Illinois)
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.
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