Individual
MICHELLE L STOUDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
303 BENNER PK, STATE COLLEGE, PA 16801-7304
(814) 272-5660
(814) 272-5675
Mailing address
500 UNIVERSITY DR MC CA410, HERSHEY, PA 17033-2360
(717) 531-5208
(717) 531-0119
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
OS008587L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017454350004
—
PA
Enumeration date
03/14/2006
Last updated
04/07/2025
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