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Individual

MATTHEW J. STINSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
3600 W BETHEL AVE, MUNCIE, IN 47304-5407
(765) 284-7738
(765) 213-3713
Mailing address
3600 W BETHEL AVE, MUNCIE, IN 47304-5407

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
10000285A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000281025
ANTHEM PIN
IN
Enumeration date
08/02/2006
Last updated
11/09/2023
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