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Individual

EDWIN R STUTZMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
1141 HOSPITAL DR NW, CORYDON, IN 47112-2164
(812) 738-4251
Mailing address
PO BOX 38, CORYDON, IN 47112-0038
(812) 738-4251

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1094586
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100017790
KY
Enumeration date
08/27/2007
Last updated
01/02/2021
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