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JILLIAN CHRISTINE STALLING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
10228 DUPONT CIRCLE DR E STE 100, FORT WAYNE, IN 46825-1611
(260) 222-7401
(260) 209-5956
Mailing address
PO BOX 772437, DETROIT, MI 48277-2437
(317) 575-7304
(317) 575-7333

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01082017A
IN
207V00000X
Obstetrics & Gynecology Physician
6583
KS

Other

Enumeration date
05/02/2007
Last updated
02/01/2023
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