# JEFFREY L STUTLER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1891133955
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | 01078492A | IN | Yes |
| 207L00000X | Anesthesiology Physician | 9408222 | KS | — |

## Other

- **Enumeration date:** 06/11/2013
- **Last updated:** 11/25/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000001566103 | ANTHEM PTAN | IN |
| 01 | — | 1102524767 | ANTHEM PTAN | IN |
| 05 | — | 300002819 | — | IN |