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Individual

PAUL B STEWART

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2525 W UNIVERSITY AVE, STE 403, MUNCIE, IN 47303-3409
(765) 289-6381
(765) 289-3883
Mailing address
2525 W UNIVERSITY AVE STE 403, MUNCIE, IN 47303-3409
(765) 289-6381

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01048698A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200181040
IN
01
P00980459
RR MEDICARE
IN
Enumeration date
06/08/2005
Last updated
04/18/2013
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