Individual
DR. JOHN RICHARD STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3700 E MISHAWAKA RD STE 1, ELKHART, IN 46517-3550
(574) 875-6595
Mailing address
3700 E MISHAWAKA RD STE 1, ELKHART, IN 46517-3550
(574) 875-6595
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12007408
IN
Other
Enumeration date
03/12/2007
Last updated
07/08/2007
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