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Individual
DR. TRISTAN VAUN STONGER
Active
Individual
DR. TRISTAN VAUN STONGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
01031765A
IN
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
4581
MT
208200000X
Plastic Surgery Physician
01031765A
IN
208200000X
Plastic Surgery Physician
4581
MT
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
Primary
01031765A
IN
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
4581
MT
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
01031765A
IN
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
4581
MT
Other
Enumeration date
10/03/2006
Last updated
12/31/2014
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