Provider Demographics
NPI:1104395060
Name:LIM, STEPHANIE TSUI-ERH (MD)
Entity type:Individual
Prefix:MS
First Name:STEPHANIE
Middle Name:TSUI-ERH
Last Name:LIM
Suffix:
Gender:F
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:#2105 ONE EVERGREEN PLACE
Mailing Address - Street 2:
Mailing Address - City:WINNIPEG
Mailing Address - State:MANITOBA
Mailing Address - Zip Code:R3L0E9
Mailing Address - Country:CA
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:347-825 SHERBROOK STRET
Practice Address - Street 2:DEPARTMENT OF GENERAL SURGERY RESIDENCY TRAINING PROGRA
Practice Address - City:WINNIPEG
Practice Address - State:MANITOBA
Practice Address - Zip Code:R3T2N2
Practice Address - Country:CA
Practice Address - Phone:204-787-7581
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-20
Last Update Date:2018-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL188000811390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program