Individual
REED STOCKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1004 PARKWAY AVE, SUITE B, ELKHART, IN 46516-9348
(574) 522-9922
(574) 522-9926
Mailing address
2830 E PRESTWICK RD, WINONA LAKE, IN 46590-8910
(620) 805-9063
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
28205706A
IN
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA01006
NM
Other
Enumeration date
07/08/2006
Last updated
02/01/2024
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