Individual
DR. MARIAN W STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
10994 HISTORIC HIGHWAY 165 STE D, HOLLISTER, MO 65672-5606
(417) 239-0079
(417) 239-1228
Mailing address
PO BOX 8781, SPRINGFIELD, MO 65801-8781
(417) 339-5691
(417) 339-7335
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
101644
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21186039
BLUE SHIELD OF KC
MO
05
—
244744504
—
MO
01
—
431835078
TRICARE
MO
01
—
P00204814
RAILROAD MEDICARE
MO
Enumeration date
05/20/2006
Last updated
04/15/2013
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