Individual
PAUL T. STOCKMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11123 PARKVIEW PLAZA DR STE 200, FORT WAYNE, IN 46845-1707
(260) 425-6100
(260) 425-6105
Mailing address
CHILDRENS HOSPITAL OF MICHIGAN, 3901 BEAUBIEN BLVD, DETROIT, MI 48201
(313) 831-3220
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
01078636A
IN
2086S0120X
Pediatric Surgery Physician
057466
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020H277290
BLUE CROSS BLUE SHIELD MI
MI
01
—
1396817714
GROUP NPI
MI
05
—
3289600
—
MI
05
—
329955410
—
MI
05
—
4115660
—
MI
01
—
700H262310
BLUE CROSS-BLUE CROSS
—
01
—
PS057466
CHAMPUS-CHAMPUS
—
Enumeration date
07/28/2005
Last updated
04/23/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us