Organization
J P STULC PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAROSLAV P STULC M.D. (PRESIDENT)
(812) 471-1591
Entity
Organization
Contact information
Practice address
444 MAIN STREET, MADISONVILLE, KY 42431
(812) 471-1591
(812) 471-6650
Mailing address
PO BOX 717, EVANSVILLE, IN 47705-0717
(812) 471-1591
(812) 471-6650
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64283252
—
KY
Enumeration date
10/18/2005
Last updated
08/22/2020
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