Organization
WILLIAM M STINSON MD MEDICAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID MARK STINSON M.D. (PRESIDENT/PROVIDER)
(765) 646-8479
Entity
Organization
Contact information
Practice address
2101 JACKSON ST, SUITE 101, ANDERSON, IN 46016-4386
(765) 646-8479
(765) 646-8526
Mailing address
2101 JACKSON ST, SUITE 101, ANDERSON, IN 46016-4386
(765) 646-8479
(765) 646-8526
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01032850
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000100998
ANTHEM BLUE CROSS
IN
Enumeration date
12/21/2007
Last updated
04/03/2008
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