Individual
DAVID B STUHLDREHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1270 N POST RD, SUITE A, INDIANAPOLIS, IN 46219-4209
(317) 895-6095
(317) 895-6195
Mailing address
679 E COUNTY LINE RD, GREENWOOD, IN 46143-1049
(317) 807-1241
(317) 859-4268
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
01045047A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000091689
ANTHEM PROVIDER NUMBER
IN
01
—
100194370
MEDICAID GROUP NUMBER
IN
01
—
1487680518
GROUP NPI NUMBER
IN
05
—
200082270
—
IN
01
—
340015552
MEDICARE RAILROAD
IN
01
—
340015553
MEDICARE RAILROAD
IN
Enumeration date
08/01/2006
Last updated
09/12/2014
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