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Individual

DR. GLENN B STOLTZFUS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1345 SOMERSET CT, GOSHEN, IN 46528-5063
(574) 534-1813
Mailing address
1345 SOMERSET CT, GOSHEN, IN 46528-5063
(574) 534-1813

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01023067A
IN

Other

Enumeration date
02/08/2012
Last updated
02/08/2012
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