Individual
DR. JOSEPH R. STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
108 S. ILLINOIS ST., WANATAH, IN 46390
(219) 733-2929
(219) 733-1329
Mailing address
PO BOX 359, WANATAH, IN 46390-0359
(219) 733-2929
(219) 733-1329
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12008658
IN
Other
Enumeration date
03/27/2007
Last updated
07/08/2007
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