Individual
DR. STEPHEN FUGAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
9207 WICKER AVE, SAINT JOHN, IN 46373-9782
(219) 365-8696
(219) 365-2121
Mailing address
9207 WICKER AVE, SAINT JOHN, IN 46373-9782
(219) 365-8696
(219) 365-2121
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12011816A
IN
Other
Enumeration date
06/19/2012
Last updated
06/19/2012
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