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Individual

RONALD J STUKEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
7950 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4140
(260) 435-7001
(260) 407-8014
Mailing address
2910 COUNTY ROAD 156, ENTERPRISE, AL 36330
(334) 393-0554
(260) 407-8014

Taxonomy

Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
2002000A
IN
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
918DO
AL

Other

Enumeration date
06/08/2006
Last updated
07/08/2007
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