Individual
NATHANIEL ROBERT STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12563 STATE RD 23, GRANGER, IN 46530-9226
(574) 335-8300
(574) 335-0775
Mailing address
707 CEDAR ST STE 200, SOUTH BEND, IN 46617-2057
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01073332A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201087310
—
IN
Enumeration date
06/01/2012
Last updated
06/25/2024
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