Provider Demographics
NPI:1437391257
Name:STEGBAUER, JOHANNES TOBIAS (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHANNES
Middle Name:TOBIAS
Last Name:STEGBAUER
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 1:106 RESEARCH DR
Mailing Address - Street 2:MSRB2 RM. 2018
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27710-0001
Mailing Address - Country:US
Mailing Address - Phone:919-684-9960
Mailing Address - Fax:919-684-3011
Practice Address - Street 1:106 RESEARCH DR
Practice Address - Street 2:MSRB2 RM. 2018
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27710-0001
Practice Address - Country:US
Practice Address - Phone:919-684-9960
Practice Address - Fax:919-684-3011
Is Sole Proprietor?:No
Enumeration Date:2009-03-25
Last Update Date:2009-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ZZ32561174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist