Provider Demographics
NPI:1225098320
Name:FIHN, STEPHAN DITTLE (MD)
Entity Type:Individual
Prefix:DR
First Name:STEPHAN
Middle Name:DITTLE
Last Name:FIHN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 MINOR AVE
Mailing Address - Street 2:SUITE 1400
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98101-4204
Mailing Address - Country:US
Mailing Address - Phone:206-764-2651
Mailing Address - Fax:206-764-2935
Practice Address - Street 1:1100 MINOR AVE
Practice Address - Street 2:SUITE 1400
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98101-4204
Practice Address - Country:US
Practice Address - Phone:206-764-2651
Practice Address - Fax:206-764-2935
Is Sole Proprietor?:No
Enumeration Date:2006-03-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00016664207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine