Individual
DIANA JEAN STINDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
Mailing address
PO BOX 602658, CHARLOTTE, NC 28260-2658
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
000101845
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7447758
AETNA
—
01
—
94684
MEDCOST
—
Enumeration date
11/29/2005
Last updated
06/12/2012
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