IndividualActive
Willis Stevenson, MD
NPI 1780736645 · Sports Medicine (Orthopaedic Surgery) Physician · Elkhart, IN
Provider details
- NPI number
- 1780736645
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Orthopaedic Surgery) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 01062348A (IN)
Practice location
2310 California Road
Elkhart, IN 46514-1228
Phone: (574) 264-4163
Fax: (574) 262-9650
Mailing address
2310 California Road
Elkhart, IN 46514-1228
Registry dates
- Enumerated
- 2007-01-18
- Last updated
- 2023-03-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.