Individual
DAN L STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1630 LAFAYETTE RD, SUITE 300, CRAWFORDSVILLE, IN 47933-1090
(765) 361-1234
(765) 361-2267
Mailing address
1040 SIERRA DRIVE, SUITE 400, GREENWOOD, IN 46143-7241
(317) 528-4284
(317) 865-8355
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01071006A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201088910
—
IN
01
—
M471400004
MEDICARE PROVIDER PTAN
IN
Enumeration date
07/20/2005
Last updated
06/12/2014
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