Individual
DANA Y STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1907 W SYCAMORE ST, KOKOMO, IN 46901-5148
(317) 583-3332
(317) 583-2805
Mailing address
1907 W SYCAMORE ST, KOKOMO, IN 46901-5148
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
01060986A
IN
2080A0000X
Pediatric Adolescent Medicine Physician
01060986A
IN
208M00000X
Hospitalist Physician
Primary
01060986A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144513375
—
IN
Enumeration date
11/07/2005
Last updated
08/27/2024
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