Individual
STUART L. ISAACSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1400 W STATE ST STE C, WEST LAFAYETTE, IN 47906-3438
(765) 494-0111
(765) 496-6656
Mailing address
1400 WEST STATE STREET, BLDG B, SUITE C, WEST LAFAYETTE, IN 47907
(765) 494-0111
(765) 496-6656
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02005007A
IN
2083X0100X
Occupational Medicine Physician
46310
WI
Other
Enumeration date
03/29/2007
Last updated
06/20/2017
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