# DR. TRISTAN VAUN STONGER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1134213796
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | 01031765A | IN | Yes |
| 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