Individual
THOMAS D STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2005 N WALNUT ST, HARTFORD CITY, IN 47348-1365
(765) 348-1100
(765) 348-9717
Mailing address
2005 N WALNUT ST, HARTFORD CITY, IN 47348-1365
(765) 348-1100
(765) 348-9717
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01058047A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
192590022
MEDICARE PTAN
IN
05
—
200459560
—
IN
01
—
IN6313001
MEDICARE PTAN
IN
01
—
M22404071
MEDICARE PTAN
IN
01
—
P00709052
RAILROAD MEDICARE
IN
01
—
Q00200549
MEDICARE PTAN
IN
Enumeration date
04/17/2006
Last updated
03/22/2024
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