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Individual

MR. DALE RAY STIERWALT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1618 GAULT AVE. N., FORT PAYNE, AL 35967
(256) 845-1311
Mailing address
1618 GAULT AVE NORTH, FORT PAYNE, AL 35967
(256) 845-1311
(256) 845-1346

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
13506
AL

Other

Enumeration date
12/06/2005
Last updated
07/01/2010
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