Individual
CHRISTOPHER JOHN STUCKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1013 E SPRING ST, SAINT MARYS, OH 45885-2447
(419) 394-8664
(419) 394-1148
Mailing address
1140 S KNOXVILLE AVE STE D, SAINT MARYS, OH 45885-2609
(419) 300-1129
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
36.003875
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0356419
—
OH
01
—
H636970
MEDICARE
OH
Enumeration date
05/13/2016
Last updated
03/29/2022
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