Individual
MR. STUART KUNTZELMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATP
Contact information
Practice address
W2678 TOWN CENTER RD, JUDA, WI 53550-9565
(630) 806-3036
Mailing address
W2678 TOWN CENTER RD, JUDA, WI 53550-9565
(630) 806-3036
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
203.002025
IL
Other
Enumeration date
06/09/2020
Last updated
06/09/2020
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