Individual
DR. ELWIN L STILLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7785 N STATE ST, STE 330, LOWVILLE, NY 13367-1229
(315) 376-5469
(315) 376-6696
Mailing address
7785 N STATE ST, STE 330, LOWVILLE, NY 13367-1229
(315) 376-5469
(315) 376-6696
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
124223
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00556038
—
NY
Enumeration date
06/23/2005
Last updated
01/25/2013
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