Individual
MANDY STULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
169 MARTIN AVE, EPHRATA, PA 17522-1724
(717) 721-4740
Mailing address
156 E MOHLER CHURCH RD, EPHRATA, PA 17522-9226
(717) 721-4740
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS017005
PA
Other
Enumeration date
04/25/2011
Last updated
12/30/2021
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