Individual
DR. JASON TYLER STUCKWISCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
325 N WALNUT ST, SUITE A, SEYMOUR, IN 47274-2113
(812) 522-1899
(812) 522-2759
Mailing address
325 N WALNUT ST, SUITE A, SEYMOUR, IN 47274-2113
(812) 522-1899
(812) 522-2759
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12010383A
IN
Other
Enumeration date
08/30/2006
Last updated
01/27/2014
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