Individual
MR. TIMOTHY PATRICK STEWART
Active
Individual
MR. TIMOTHY PATRICK STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
SC003192L
PA
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
SC003192L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011356880004
—
PA
01
—
104075
UPMC
—
01
—
1378739
FUNDS
—
01
—
13886
HEALTH AM
—
01
—
1520253
BLUE
—
01
—
480006376
UNITED HC
—
01
—
77659
MED PLUS
—
Enumeration date
08/11/2005
Last updated
06/01/2011
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