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Individual
DR. DANIEL WAYNE STOCK
Active
Individual
DR. DANIEL WAYNE STOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01037735A
IN
208D00000X
General Practice Physician
01037735A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000312845
ANTHEM
IN
05
—
200072890
—
IN
01
—
P00117763
MEDICAID RAILROAD
IN
Enumeration date
07/28/2006
Last updated
02/14/2019
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