Individual
DR. MARK R STETZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
10010 DUPONT CIRCLE CT, FORT WAYNE, IN 46825-1626
(260) 490-9949
(260) 490-3199
Mailing address
10010 DUPONT CIRCLE CT, FORT WAYNE, IN 46825-1626
(260) 490-9949
(260) 490-3199
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8620
IN
Other
Enumeration date
04/03/2007
Last updated
07/08/2007
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