Individual
JEREMY THOMAS STUELPNAGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 MEDICAL CENTER DRIVE, MORGANTOWN, WV 26506
(304) 293-1621
Mailing address
678 CLEARVEIW AVE, MORGANTOWN, WV 26505
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/11/2009
Last updated
06/11/2009
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