Individual
DR. MATTHEW R STANFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
411 W TIPTON ST, SEYMOUR, IN 47274-2363
(812) 523-7870
(812) 523-4752
Mailing address
411 W TIPTON ST, SEYMOUR, IN 47274-2363
(812) 523-7870
(812) 523-4752
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
01081758A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200070970A
—
OK
01
—
200088020A
MEDICAID GROUP
OK
01
—
202935682
TRICARE
—
01
—
202935682002
BCBS GROUP
OK
05
—
300022996
—
IN
01
—
700522174
MEDICARE GROUP
OK
01
—
7665743
AETNA
OK
01
—
DF1032
RAILROAD MEDICARE GROUP
OK
Enumeration date
02/02/2006
Last updated
03/26/2019
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