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Individual
ROBERT STUCKERT III
Active
Individual
ROBERT STUCKERT III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34006102S
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000346859
BCBS ANTHEM
OH
05
—
0110570
—
OH
01
—
201582447001
BCBS MTN STATE
OH
01
—
4573606
AETNA
OH
01
—
7380139
CIGNA
OH
01
—
W06102
HEALTH PLAN UPPER OH VALL
OH
Enumeration date
06/16/2005
Last updated
08/01/2011
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