# DR. DANIEL WAYNE STOCK

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

## Provider details

- **NPI number:** 1417961293
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 01037735A | IN | Yes |
| 208D00000X | General Practice Physician | 01037735A | IN | — |

## Other

- **Enumeration date:** 07/28/2006
- **Last updated:** 02/14/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000312845 | ANTHEM | IN |
| 05 | — | 200072890 | — | IN |
| 01 | — | P00117763 | MEDICAID RAILROAD | IN |