Individual
DR. DANIEL WAYNE STOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15510 HERRIMAN BLVD, NOBLESVILLE, IN 46060
(317) 559-2515
(317) 401-8273
Mailing address
15510 HERRIMAN BLVD, NOBLESVILLE, IN 46060
(317) 559-2515
(317) 401-8273
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01037735A
IN
208D00000X
General Practice Physician
01037735A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000312845
ANTHEM
IN
05
—
200072890
—
IN
01
—
P00117763
MEDICAID RAILROAD
IN
Enumeration date
07/28/2006
Last updated
02/14/2019
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