person
Paul T. Stockmann, MD
Pediatric Surgery Physician in Fort Wayne, Indiana
NPI 1588664932

Paul T. Stockmann is a Pediatric Surgery Physician based in Detroit, IN and is specialized in Pediatric Surgery. Paul T. Stockmann practices in Fort Wayne, IN and has the professional credentials of MD. The NPI Number for Paul T. Stockmann is 1588664932 and holds a License No. 057466 (Indiana).

The current practice location address for Paul T. Stockmann is 11123 Parkview Plaza Dr Ste 200, Fort Wayne, IN and can be reached out via phone at 260-425-6100 and via fax at 260-425-6105.

Location: 11123 Parkview Plaza Dr Ste 200, Fort Wayne, IN, 48201
person
Provider Profile Details
NPI Number
1588664932
Provider Name
Paul T. Stockmann
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
11123 Parkview Plaza Dr Ste 200, Fort Wayne, IN, 48201
Phone Number
260-425-6100
Fax Number
260-425-6105
Provider Enumeration Date
07/28/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3289600 05 MI
PS057466 01 CHAMPUS-CHAMPUS
329955410 05 MI
4115660 05 MI
020H277290 01 MI BLUE CROSS BLUE SHIELD MI
PS057466 01 COMMERCIAL-COMMERCIAL NUMBER
1396817714 01 MI GROUP NPI
700H262310 01 BLUE CROSS-BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
11123 Parkview Plaza Dr Ste 200
City
State
Zip
46845-1707
Phone Number
260-425-6100
Fax Number
260-425-6105
person
Provider Business Mailing Address Details
Address
11123 Parkview Plaza Dr Ste 200
City
State
Zip
46845-1707
Phone Number
260-425-6100
Fax Number
260-425-6105
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Pediatric Surgery
Taxonomy
License No.
057466 (Michigan)
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
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