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Dwight Lee Stauffer, MD
Obstetrics Physician in Martinsville, Indiana
NPI 1811924475

Dwight Lee Stauffer is a Obstetrics Physician based in Bloomington, IN and is specialized in Obstetrics. Dwight Lee Stauffer practices in Martinsville, IN and has the professional credentials of MD. The NPI Number for Dwight Lee Stauffer is 1811924475 and holds a License No. 01025006 (Indiana).

The current practice location address for Dwight Lee Stauffer is 2209 John R Wooden Dr, Martinsville, IN and can be reached out via phone at 765-352-9536 and via fax at 765-349-6433.

Location: 2209 John R Wooden Dr, Martinsville, IN, 47401-9313
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811924475
Provider Name
Dwight Lee Stauffer
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2209 John R Wooden Dr, Martinsville, IN, 47401-9313
Phone Number
765-352-9536
Fax Number
765-349-6433
Provider Enumeration Date
06/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200377200 01 IN MEDICAID GROUP
1003455410 05 IN
1104827633 01 IN GROUP NPI
institution
Provider Business Practice Location Address Details
Address
2209 John R Wooden Dr
City
Martinsville
State
Indiana
Zip
46151-1840
Phone Number
765-352-9536
Fax Number
765-349-6433
person
Provider Business Mailing Address Details
Address
2209 John R Wooden Dr
City
Martinsville
State
Indiana
Zip
46151-1840
Phone Number
765-352-9536
Fax Number
765-349-6433
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Gynecology
Taxonomy
207VG0400X
License No.
01025006 (Indiana)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Obstetrics
Taxonomy
207VX0000X
License No.
01025006 (Indiana)
Definition
Definition to come...
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