Individual
DR. MICHAEL STUFFLEBEAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
207 E CHURCH ST, SUITE #3, MARSHALLTOWN, IA 50158-2972
(641) 752-9550
(641) 752-9517
Mailing address
207 E CHURCH ST, SUITE #3, MARSHALLTOWN, IA 50158-2972
(641) 752-9550
(641) 752-9517
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
08055
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0264416
—
IA
Enumeration date
11/20/2006
Last updated
07/09/2007
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