Individual
JACOB E STIMMEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2817 REED RD, BLOOMINGTON, IL 61704-8294
(309) 662-5921
Mailing address
2003 ROBERT DR, CHAMPAIGN, IL 61821-6023
(217) 840-7042
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.33337
IL
Other
Enumeration date
09/10/2021
Last updated
09/10/2021
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