Individual
DR. JOSEPH JOHN STUBBERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2740 MACK RD, FAIRFIELD, OH 45014-5161
(513) 860-3016
(513) 860-3073
Mailing address
2740 MACK RD, FAIRFIELD, OH 45014-5161
(513) 860-3016
(513) 860-3073
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34005101
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000015712
BCBS
OH
01
—
110084589
MEDICARE RAILROAD
OH
Enumeration date
10/20/2005
Last updated
07/12/2010
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