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Individual

MARK ALAN STUTZMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
3477 COMMERCE PKWY, SUITE A, WOOSTER, OH 44691-7126
(330) 601-0999
(330) 601-0935
Mailing address
3477 COMMERCE PKWY, SUITE A, WOOSTER, OH 44691-7126
(330) 601-0999
(330) 601-0935

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34011365
OH
207Q00000X
Family Medicine Physician
OS015821
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0105072
OH
Enumeration date
07/29/2008
Last updated
09/25/2020
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