JON LEE STOCKRAHM

TERRE HAUTE, IN
NPI1962409466
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: IN  02002047)
Enumeration Date2005-06-30
Last Update Date2023-09-25
Business Address
Dr. JON LEE STOCKRAHM D.O.
2800 POPLAR STREET STE 19 A
TERRE HAUTE, IN 47803-2659
Phone number: 812-235-7252
Mailing Address
Dr. JON LEE STOCKRAHM D.O.
2800 POPLAR ST STE 19A
TERRE HAUTE, IN 47803-2683
Phone number: 812-235-7252