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Individual

DANIEL STAHL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
201 CONRAD HARCOURT WAY STE A, RUSHVILLE, IN 46173-1157
(765) 932-7591
(765) 932-7576
Mailing address
1300 N MAIN ST, RUSHVILLE, IN 46173-1198
(765) 932-4111
(765) 932-7505

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
IN02001999
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000331182
ANTHEM
IN
05
200265090B
IN
01
356004464
TAX ID
IN
01
IN02001999
IN LIC #
IN
Enumeration date
03/24/2006
Last updated
02/17/2025
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