Individual provider · NPI-1

Stephen R Clingman, MD

Family Medicine · Peru, IN

NPI number1891898326
StatusActive
Last updated in NPPESAug 5, 2025

Details

NPI
1891898326
Entity type
Individual (NPI-1)
Name
Stephen R Clingman
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Sep 7, 2006
Certification date
Aug 5, 2025
Last updated
Aug 5, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine01070531AINYes
207Q00000X Family Medicine036-101503IL

Practice location

750 N Broadway
Peru, IN 46970-1027

Phone 260-569-2120 · Fax 260-569-2121

Mailing address

2330 S Dixon Rd
Kokomo, IN 46902-6434

Phone 765-455-5400

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