Provider Demographics
NPI:1508357120
Name:DEHMEL, STEPHAN (MD)
Entity type:Individual
Prefix:
First Name:STEPHAN
Middle Name:
Last Name:DEHMEL
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10600 MONTGOMERY RD STE 300
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:OH
Mailing Address - Zip Code:45242-4464
Mailing Address - Country:US
Mailing Address - Phone:513-853-9250
Mailing Address - Fax:513-281-1908
Practice Address - Street 1:10600 MONTGOMERY RD STE 300
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:OH
Practice Address - Zip Code:45242-4464
Practice Address - Country:US
Practice Address - Phone:513-853-9250
Practice Address - Fax:513-281-1908
Is Sole Proprietor?:No
Enumeration Date:2018-05-21
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.152530207RG0100X
ART2018-098207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology