Provider Demographics
NPI:1275863185
Name:STERN, MARC FRANCIS (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:MARC
Middle Name:FRANCIS
Last Name:STERN
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:413 FRANKLIN ST NE
Mailing Address - Street 2:UNION GOSPEL MISSION CLINIC
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98501-6946
Mailing Address - Country:US
Mailing Address - Phone:360-357-6505
Mailing Address - Fax:
Practice Address - Street 1:413 FRANKLIN ST NE
Practice Address - Street 2:OLYMPIA UNION GOSPEL MISSION
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98501-6946
Practice Address - Country:US
Practice Address - Phone:360-357-6505
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-28
Last Update Date:2011-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00041843207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine