Individual
MARK A STINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2101 JACKSON ST STE 206, ANDERSON, IN 46016-4388
(765) 646-8523
Mailing address
PO BOX 12812, BELFAST, ME 04915-4040
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
10002257A
IN
Other
Enumeration date
05/15/2017
Last updated
08/08/2017
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