Individual
MICHAEL R STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
440 W SONGER LN, VEEDERSBURG, IN 47987-8547
(765) 762-4180
Mailing address
8840 COMMERCE PARK PL STE E, INDIANAPOLIS, IN 46268-3129
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01036803A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000383403
BLUE CROSS BLUE SHIELD
—
05
—
100317690
—
IN
Enumeration date
05/09/2006
Last updated
06/04/2015
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