Provider Demographics
NPI:1548284425
Name:STEGE, GEORGE CHRISTIAN III (MD)
Entity type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:CHRISTIAN
Last Name:STEGE
Suffix:III
Gender:M
Credentials:MD
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Mailing Address - Street 1:2304 HURSTBOURNE VILLAGE DR STE 500
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40299-1886
Mailing Address - Country:US
Mailing Address - Phone:502-583-3189
Mailing Address - Fax:502-581-1463
Practice Address - Street 1:2304 HURSTBOURNE VILLAGE DR STE 500
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40299-1886
Practice Address - Country:US
Practice Address - Phone:502-583-3189
Practice Address - Fax:502-581-1463
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2020-10-05
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Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY20839207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64208390Medicaid
KY1319801Medicare PIN
KYC71369Medicare UPIN