Individual
DR. ARUNTHATHI TABITHA STALLWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1985 GRATIOT BLVD, MARYSVILLE, MI 48040-2215
(810) 364-0692
(810) 364-0698
Mailing address
PO BOX 610669, PORT HURON, MI 48061-0669
(810) 985-1884
(810) 966-3025
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301099109
MI
208000000X
Pediatrics Physician
4301099109
MI
Other
Enumeration date
06/21/2011
Last updated
07/07/2015
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