Individual
BRIAN J STOGDILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
303 S MAIN ST, BLUFFTON, IN 46714-2503
(260) 919-3333
(260) 919-3554
Mailing address
7916 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4140
(260) 434-6377
(260) 434-6389
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
01035861A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100084890A
—
IN
Enumeration date
06/22/2006
Last updated
08/12/2015
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