Individual
WILLIE F STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 W HOMER ST, MICHIGAN CITY, IN 46360-4358
(219) 879-8511
Mailing address
4920 S CORNELL AVE, CHICAGO, IL 60615-3014
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
01025693A
IN
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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