Provider Demographics
NPI:1255323531
Name:STEMPIHAR, MARK E (MD)
Entity Type:Individual
Prefix:
First Name:MARK
Middle Name:E
Last Name:STEMPIHAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:N10565 GRANDVIEW LN
Mailing Address - Street 2:
Mailing Address - City:IRONWOOD
Mailing Address - State:MI
Mailing Address - Zip Code:49938-9622
Mailing Address - Country:US
Mailing Address - Phone:906-932-1500
Mailing Address - Fax:906-932-5630
Practice Address - Street 1:E6112 E BLUFFVIEW RD
Practice Address - Street 2:SUITE 102
Practice Address - City:IRONWOOD
Practice Address - State:MI
Practice Address - Zip Code:49938-9367
Practice Address - Country:US
Practice Address - Phone:906-932-1436
Practice Address - Fax:906-932-0644
Is Sole Proprietor?:No
Enumeration Date:2005-08-22
Last Update Date:2010-07-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI43010042817207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1483897Medicaid
WI30563400Medicaid
MI1802700111OtherMICHIGAN BLUE CROSS BLUE
WI30563400Medicaid
MI1802700111OtherMICHIGAN BLUE CROSS BLUE