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Individual

DR. GERALD MAX STELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
102 OFFICE PARK DR, MINDEN, LA 71055-3086
(318) 377-2885
(318) 377-2886
Mailing address
102 OFFICE PARK DR, MINDEN, LA 71055-3086
(318) 377-2885
(318) 377-2886

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
019384
LA
207Q00000X
Family Medicine Physician
Primary
019384
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1925799
LA
Enumeration date
06/03/2006
Last updated
04/11/2012
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