Individual
DAVID ROBERT STUKUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7853 PACER DR, DELAWARE, OH 43015-7571
(614) 722-6200
Mailing address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 722-2000
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
35083718
OH
2080P0201X
Pediatric Allergy/Immunology Physician
Primary
35083718
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2549362
—
OH
01
—
H002810
CGS - MEDICARE
OH
Enumeration date
07/05/2005
Last updated
02/15/2022
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