Individual
REGINA M. STUTZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
44 BLAINE AVE, BEDFORD, OH 44146-2709
(440) 735-3900
(330) 656-5901
Mailing address
9500 MENTOR AVENUE, SUITE 100, MENTOR, OH 44060-8713
(440) 352-4880
(330) 656-5901
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50001996
OH
Other
Enumeration date
12/04/2006
Last updated
07/19/2011
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