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Individual
DR. STUART PEISS
Active
Individual
DR. STUART PEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
016-004762
IL
213E00000X
Podiatrist
Primary
1930
TX
213E00000X
Podiatrist
2005039419
MO
213E00000X
Podiatrist
873-025
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016004762
—
IL
05
—
1427092055
—
MO
05
—
300004417
—
IN
05
—
326857501
—
TX
05
—
326857502
—
TX
05
—
326857503
—
TX
05
—
43235800
—
WI
01
—
P00022949
RAILROAD MEDICARE
IL
01
—
P00625592
RAILROAD MEDICARE
WI
01
—
P01288996
RAILROAD MEDICARE
TX
01
—
P01424200
RAILROAD MEDICARE
MO
Enumeration date
06/15/2006
Last updated
11/07/2024
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