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Individual

STANLEY J TRETTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4 W VINE ST, DALE, IN 47523-9061
(812) 937-7140
(812) 937-7145
Mailing address
PO BOX 1028, JASPER, IN 47547-1028
(812) 996-0410
(812) 996-8497

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01051067A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200174250
IN
Enumeration date
09/28/2006
Last updated
07/07/2014
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