Individual
DR. STUART A GUERRETTAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1638 CHRISTOPHER LN, INDIANAPOLIS, IN 46224-5511
(317) 241-9209
Mailing address
1638 CHRISTOPHER LN, INDIANAPOLIS, IN 46224-5511
(317) 241-9209
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01040570A
IN
207Q00000X
Family Medicine Physician
Primary
01040570A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01040570A
INDIANA LICENSE
IN
01
—
01040570B
CSR
IN
Enumeration date
07/17/2006
Last updated
09/04/2025
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