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Stephen Edward Zucker, MD
Specialist in South Bend, Indiana
NPI 1801983242

Stephen Edward Zucker is a Specialist based in South Bend, IN. Stephen Edward Zucker practices in South Bend, IN and has the professional credentials of MD. The NPI Number for Stephen Edward Zucker is 1801983242 and holds a License No. 01034163 (Indiana).

The current practice location address for Stephen Edward Zucker is 621 Memorial Dr, South Bend, IN and can be reached out via phone at 574-232-3919 and via fax at 574-233-1063.

Location: 621 Memorial Dr, South Bend, IN, 46601-1063
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801983242
Provider Name
Stephen Edward Zucker
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
621 Memorial Dr, South Bend, IN, 46601-1063
Phone Number
574-232-3919
Fax Number
574-233-1063
Provider Enumeration Date
10/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100224080 05 IN
institution
Provider Business Practice Location Address Details
Address
621 Memorial Dr
City
South Bend
State
Indiana
Zip
46601-1063
Phone Number
574-232-3919
Fax Number
574-233-1063
person
Provider Business Mailing Address Details
Address
621 Memorial Dr
City
South Bend
State
Indiana
Zip
46601-1063
Phone Number
574-232-3919
Fax Number
574-233-1063
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
01034163 (Indiana)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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