Individual
GARY STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 HENRY ST, NORTH VERNON, IN 47265-1030
(812) 352-4200
Mailing address
301 HENRY ST, NORTH VERNON, IN 47265-1030
(812) 352-4228
(812) 352-4201
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01043106A
IN
207L00000X
Anesthesiology Physician
35-067082
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0549508
—
OH
01
—
10799933
CAQH
—
05
—
200151030
—
IN
05
—
64956568
—
KY
Enumeration date
06/23/2006
Last updated
03/07/2023
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