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Organization
DON F. STALLMAN MD
Active
Organization
DON F. STALLMAN MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DON F STALLMAN MD (MD)
(260) 347-2854
Entity
Organization
Contact information
Practice address
409 E WAYNE ST, KENDALLVILLE, IN 46755-1459
(260) 347-2854
(260) 347-3863
Mailing address
409 E WAYNE ST, KENDALLVILLE, IN 46755-1459
(260) 347-2854
(260) 347-3863
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
01027870
IN
208D00000X
General Practice Physician
Primary
01027870
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000258973
ANTHEM BC-REG
—
01
—
0000000282834
ANTHEM BCBS
—
05
—
100190840
—
IN
01
—
108772
BLACK LUNG
—
01
—
1892
PHP
—
01
—
312507650
CIGNA
—
01
—
4105386
AETNA
—
01
—
P00011664
RAILROAD
—
Enumeration date
11/16/2011
Last updated
02/21/2012
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