Individual
DR. NEIL STALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
285 W 12TH ST, STE. 102, PERU, IN 46970-1653
(765) 472-4356
Mailing address
285 W 12TH ST, STE. 102, PERU, IN 46970-1653
(765) 472-4356
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01029139A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100358190
—
IN
Enumeration date
04/18/2006
Last updated
09/14/2020
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