Stutz, Mark W

Stutz, Mark W is an individual health care provider with primary practice located at 520 S 7Th St , Vincennes IN 47591-1038. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Medical Oncology, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Medical Oncology is his primary health care specialty. Stutz, Mark W can be contacted via phone (812) 886-6565.

Contact Information

Primary practice address
520 S 7Th St Vincennes IN 47591-1038
Phone: (812) 886-6565
Fax: (812) 886-6566
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X R6F02 Missouri
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X R6F02 Missouri
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 01031197A Indiana

Profile Details

NPI number 1861420499
LBN Legal business name Stutz, Mark W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2006
Last updated Mar 26th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861420499 NPPES
Missouri MEDICAID 202377933
Missouri MEDICAID 200922220
Missouri Other 262813100
Missouri Other 43-1823174

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